Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $257.39 / $493.79	Facility		$112.80	$257.39	$493.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $852.67 / $852.67	Professional		$349.85	$852.67	$852.67