Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $114.00	Facility		$90.00	$90.00	$114.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $268.88 / $268.88	Professional		$212.00	$268.88	$268.88