Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $630.00	Facility		$90.00	$90.00	$630.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $258.39 / $258.39	Professional		$204.00	$258.39	$258.39