Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $132.24 / $132.24	Facility		$100.00	$132.24	$132.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $200.64 / $200.64	Professional		$200.64	$200.64	$200.64