Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $366.46 / $366.46	Professional		$134.21	$366.46	$366.46