Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Facility		$5,000.00	$5,000.00	$5,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,115.20 / $9,115.20 / $9,115.20	Professional		$9,115.20	$9,115.20	$9,115.20