Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,458.00 / $2,567.37 / $6,265.25	Facility		$2,458.00	$2,567.37	$6,265.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $626.53 / $626.53 / $626.53	Facility	AS	$626.53	$626.53	$626.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,773.84 / $2,567.37 / $3,466.40	Facility		$1,773.84	$2,567.37	$3,466.40