Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $315.00 / $440.32	Facility		$216.29	$315.00	$440.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $369.00 / $405.00	Professional		$308.00	$369.00	$405.00