Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.25 / $403.25 / $403.25	Facility		$403.25	$403.25	$403.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,204.00 / $1,386.51 / $1,386.51	Professional		$1,204.00	$1,386.51	$1,386.51