Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $200.44 / $256.29	Facility		$101.62	$200.44	$256.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $249.00 / $275.00	Professional		$203.00	$249.00	$275.00