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 $877.28 / $1,145.76 / $1,145.76	Professional		$877.28	$1,145.76	$1,145.76