Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $205.30 / $205.30	Facility		$205.30	$205.30	$205.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.42 / $414.09 / $414.09	Professional		$401.42	$414.09	$414.09