Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $144.91 / $211.01	Facility		$116.59	$144.91	$211.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $143.00 / $156.00	Professional		$122.00	$143.00	$156.00