Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $12,000.00	Facility		$12,000.00	$12,000.00	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,428.00 / $1,428.00 / $1,428.00	Professional		$1,428.00	$1,428.00	$1,428.00