Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $93.80 / $170.80	Facility		$58.28	$93.80	$170.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $60.00 / $112.00	Professional		$37.00	$60.00	$112.00