Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.04 / $378.06 / $378.06	Facility		$287.04	$378.06	$378.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.61 / $602.61 / $602.61	Professional		$602.61	$602.61	$602.61