Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $133.07 / $133.07	Professional		$133.07	$133.07	$133.07