Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $200.00	Facility		$116.67	$116.67	$200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $228.13 / $228.13	Professional		$228.13	$228.13	$228.13