Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $167.46 / $167.46	Facility		$167.46	$167.46	$167.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $425.14 / $425.14	Professional		$425.14	$425.14	$425.14