Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $171.96 / $1,524.13	Facility		$89.55	$171.96	$1,524.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $5,807.00 / $5,807.00	Professional		$173.66	$5,807.00	$5,807.00