Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $289.20 / $556.14	Facility		$112.80	$289.20	$556.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.31 / $960.33 / $960.33	Professional		$390.31	$960.33	$960.33