Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,218.04 / $13,027.20 / $26,542.00	Facility		$4,218.04	$13,027.20	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,219.00 / $8,219.00 / $8,219.00	Professional		$8,219.00	$8,219.00	$8,219.00