Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $236.42 / $1,035.15	Facility		$168.25	$236.42	$1,035.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $429.80 / $429.80	Professional		$429.80	$429.80	$429.80