Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,624.62 / $4,765.00 / $4,765.00	Facility		$1,624.62	$4,765.00	$4,765.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,567.11 / $7,567.11 / $7,567.11	Professional		$7,567.11	$7,567.11	$7,567.11