Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Facility		$93.33	$93.33	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $95.50	Professional		$87.10	$91.20	$95.50