Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $259.45 / $336.94	Facility		$117.01	$259.45	$336.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $325.00 / $338.00	Professional		$260.00	$325.00	$338.00