Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.03 / $639.35 / $1,946.58	Facility		$418.03	$639.35	$1,946.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.35 / $2,567.06 / $2,567.06	Professional		$639.35	$2,567.06	$2,567.06