Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $562.34 / $1,148.15	Facility		$123.03	$562.34	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,162.28 / $3,162.28	Professional		$954.99	$3,162.28	$3,162.28