Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $165.08 / $165.08	Facility		$165.08	$165.08	$165.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.81 / $274.81 / $274.81	Professional		$274.81	$274.81	$274.81