Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $58.68 / $96.96	Facility		$28.05	$58.68	$96.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $73.00 / $127.00	Professional		$62.00	$73.00	$127.00