Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.95 / $207.72 / $1,024.71	Facility		$169.95	$207.72	$1,024.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,138.00 / $1,138.00 / $1,138.00	Professional		$1,138.00	$1,138.00	$1,138.00