Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.40 / $245.73 / $245.73	Facility		$115.40	$245.73	$245.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.73 / $245.73 / $245.73	Professional		$245.73	$245.73	$245.73