Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $615.83 / $615.83	Professional		$281.93	$615.83	$615.83