Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.03 / $456.03 / $456.03	Facility		$456.03	$456.03	$456.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $252.26 / $252.26	Professional		$252.26	$252.26	$252.26