Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $229.28 / $1,300.00	Facility		$55.00	$229.28	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00