Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.55 / $309.54 / $462.00	Facility		$257.55	$309.54	$462.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $302.00 / $460.70	Professional		$275.00	$302.00	$460.70