Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $402.60 / $491.09 / $736.04	Facility		$402.60	$491.09	$736.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $588.00 / $849.00	Professional		$451.00	$588.00	$849.00