Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $195.00 / $1,207.00	Facility		$78.19	$195.00	$1,207.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,272.00 / $5,272.00 / $5,272.00	Professional		$5,272.00	$5,272.00	$5,272.00