Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $629.76 / $629.76 / $629.76	Facility		$629.76	$629.76	$629.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,663.45 / $1,663.45 / $1,663.45	Professional		$1,663.45	$1,663.45	$1,663.45