Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $141.13 / $165.74	Facility		$117.62	$141.13	$165.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.08 / $211.65	Professional		$126.00	$138.08	$211.65