Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $284.54 / $379.46	Facility		$117.01	$284.54	$379.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $362.00 / $375.00	Professional		$273.00	$362.00	$375.00