Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $196.07 / $375.38	Facility		$101.26	$196.07	$375.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $648.24 / $648.24	Professional		$269.69	$648.24	$648.24