Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.76 / $759.76 / $759.76	Facility		$759.76	$759.76	$759.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,703.26 / $1,703.26 / $1,703.26	Professional		$1,703.26	$1,703.26	$1,703.26