Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $93.75 / $139.81	Facility		$78.12	$93.75	$139.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $92.00 / $164.00	Professional		$84.00	$92.00	$164.00