Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.58 / $332.36 / $488.50	Facility		$250.58	$332.36	$488.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $356.00 / $405.00	Professional		$277.00	$356.00	$405.00