Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,919.43 / $5,882.00	Facility		$55.00	$4,919.43	$5,882.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $491.94 / $491.94 / $491.94	Facility	AS	$491.94	$491.94	$491.94