Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $145.00 / $145.00	Facility		$85.00	$145.00	$145.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00