Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $148.13 / $148.13	Professional		$148.13	$148.13	$148.13