Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $117.77 / $315.00	Facility		$50.50	$117.77	$315.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $603.00 / $603.00	Professional		$130.85	$603.00	$603.00