Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.87 / $1,482.00 / $26,542.00	Facility		$1,002.87	$1,482.00	$26,542.00
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