Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $625.00 / $625.00	Facility		$625.00	$625.00	$625.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Professional		$650.00	$650.00	$650.00