Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $382.70 / $382.70 / $382.70	Facility		$382.70	$382.70	$382.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $212.84 / $711.48	Professional		$114.35	$212.84	$711.48