Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.12 / $1,501.82 / $2,639.00	Facility		$438.12	$1,501.82	$2,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,273.61 / $6,324.33 / $6,324.33	Professional		$2,273.61	$6,324.33	$6,324.33