Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $140.52 / $212.63	Facility		$107.64	$140.52	$212.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $1,258.00 / $1,258.00	Facility		$1,258.00	$1,258.00	$1,258.00