Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Facility		$423.00	$423.00	$423.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.46 / $583.46 / $583.46	Professional		$583.46	$583.46	$583.46