Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,919.80 / $12,919.80 / $12,919.80	Professional		$12,919.80	$12,919.80	$12,919.80