Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.70 / $1,416.70 / $1,416.70	Facility		$1,416.70	$1,416.70	$1,416.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Professional		$405.00	$405.00	$405.00