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 $1,017.00 / $1,157.05 / $1,157.05	Professional		$1,017.00	$1,157.05	$1,157.05