Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $280.91 / $1,139.75	Facility		$195.83	$280.91	$1,139.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $257.00 / $666.00	Professional		$113.00	$257.00	$666.00