Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,929.00 / $2,011.52 / $4,919.43	Facility		$1,929.00	$2,011.52	$4,919.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $491.94 / $491.94 / $491.94	Facility	AS	$491.94	$491.94	$491.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,386.76 / $2,011.52 / $2,714.37	Facility		$1,386.76	$2,011.52	$2,714.37