Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $630.96	Facility		$102.33	$218.78	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $724.44	Professional		$295.12	$724.44	$724.44