Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $257.04	Facility		$38.02	$57.54	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $257.04 / $257.04	Professional		$47.86	$257.04	$257.04