Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $96.31 / $125.89	Facility		$96.31	$96.31	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $172.00 / $172.00	Professional		$120.00	$172.00	$172.00