Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $22.10 / $34.04	Facility		$15.57	$22.10	$34.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $249.57 / $249.57	Professional		$249.57	$249.57	$249.57