Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $870.96	Professional		$446.68	$588.84	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $724.44	Professional		$223.87	$269.15	$724.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72