Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.03 / $1,172.51 / $26,542.00	Facility		$883.03	$1,172.51	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,246.00 / $4,246.00 / $4,246.00	Professional		$4,246.00	$4,246.00	$4,246.00