Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.89 / $441.47 / $642.78	Facility		$289.89	$441.47	$642.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,655.89 / $1,655.89 / $1,655.89	Professional		$1,655.89	$1,655.89	$1,655.89