Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $416.87	Professional		$316.23	$416.87	$416.87