Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.03 / $285.41 / $436.94	Facility		$210.03	$285.41	$436.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $198.00 / $322.00	Professional		$101.00	$198.00	$322.00