Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $139.19 / $1,300.00	Facility		$55.00	$139.19	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.37 / $373.91 / $373.91	Professional		$225.37	$373.91	$373.91