Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $831.76 / $1,513.56	Facility		$128.82	$831.76	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $5,754.40 / $5,754.40	Professional		$120.23	$5,754.40	$5,754.40