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 / $12,500.00	Facility		$3,640.50	$3,640.50	$12,500.00
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