Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $2,400.00	Facility		$960.00	$960.00	$2,400.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $3,160.00 / $3,160.00	Professional		$3,160.00	$3,160.00	$3,160.00