Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $593.66 / $1,056.60	Facility		$123.05	$593.66	$1,056.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $3,174.88 / $3,174.88	Professional		$952.00	$3,174.88	$3,174.88