Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $269.15 / $537.03	Facility		$109.65	$269.15	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,019.95 / $3,019.95	Professional		$1,023.29	$3,019.95	$3,019.95