Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,792.62 / $1,849.19 / $2,787.95	Facility		$1,792.62	$1,849.19	$2,787.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $250.97 / $258.89 / $390.31	Facility	AS	$250.97	$258.89	$390.31