Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $115.00	Facility		$90.00	$90.00	$115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $268.88 / $268.88	Professional		$183.00	$268.88	$268.88