Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.20 / $1,066.69 / $2,472.77	Facility		$799.20	$1,066.69	$2,472.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,110.00 / $4,110.00 / $4,110.00	Professional		$4,110.00	$4,110.00	$4,110.00