Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Professional		$152.16	$152.16	$152.16