Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.31 / $198.31 / $198.31	Facility		$198.31	$198.31	$198.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $728.00 / $728.00	Professional		$728.00	$728.00	$728.00