Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,555.30 / $1,555.30 / $1,555.30	Facility		$1,555.30	$1,555.30	$1,555.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $797.28 / $797.28	Professional		$797.28	$797.28	$797.28