Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,640.50 / $3,640.50 / $7,634.97	Facility		$3,640.50	$3,640.50	$7,634.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $16,929.27 / $16,929.27 / $16,929.27	Professional		$16,929.27	$16,929.27	$16,929.27