Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.54 / $112.25 / $348.00	Facility		$75.54	$112.25	$348.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.69 / $405.69 / $405.69	Professional		$405.69	$405.69	$405.69