Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $149.78 / $453.35	Facility		$133.00	$149.78	$453.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $816.44 / $816.44 / $816.44	Professional		$816.44	$816.44	$816.44