Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,763.43 / $3,763.43 / $3,763.43	Facility		$3,763.43	$3,763.43	$3,763.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.22 / $491.22 / $491.22	Professional		$491.22	$491.22	$491.22