Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $76.86 / $113.00	Facility		$67.86	$76.86	$113.00
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