Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.18 / $134.18 / $134.18	Facility		$134.18	$134.18	$134.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $164.06 / $527.02	Professional		$164.06	$164.06	$527.02