Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.89 / $318.89 / $318.89	Facility		$318.89	$318.89	$318.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $657.30 / $657.30	Professional		$623.53	$657.30	$657.30