Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.92 / $621.92 / $621.92	Facility		$621.92	$621.92	$621.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.23 / $875.23 / $875.23	Professional		$875.23	$875.23	$875.23