Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $686.61 / $12,000.00	Facility		$102.60	$686.61	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,284.00 / $4,284.00 / $4,284.00	Professional		$4,284.00	$4,284.00	$4,284.00