Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.75 / $1,376.10 / $1,376.10	Facility		$275.75	$1,376.10	$1,376.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $400.80 / $400.80	Professional		$400.80	$400.80	$400.80