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 $6.84 / $6.84 / $6.84	Professional		$6.84	$6.84	$6.84