Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $154.21 / $204.63	Facility		$130.63	$154.21	$204.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $154.00 / $250.00	Professional		$140.00	$154.00	$250.00