Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.08 / $164.08 / $164.08	Facility		$164.08	$164.08	$164.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.52 / $510.52 / $510.52	Professional		$510.52	$510.52	$510.52