Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.80 / $3,616.95 / $3,616.95	Facility		$791.80	$3,616.95	$3,616.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $1,820.00 / $1,820.00	Professional		$1,820.00	$1,820.00	$1,820.00