Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $189.90 / $189.90	Facility		$189.90	$189.90	$189.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $627.00 / $627.00	Professional		$627.00	$627.00	$627.00