Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $229.72 / $283.64	Facility		$101.62	$229.72	$283.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $275.00 / $308.00	Professional		$222.00	$275.00	$308.00