Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $5,401.26	Facility		$2,919.60	$2,919.60	$5,401.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,211.56 / $4,466.99 / $5,591.03	Professional		$3,211.56	$4,466.99	$5,591.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $4,671.35 / $7,153.02	Facility		$4,671.35	$4,671.35	$7,153.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,218.60 / $10,218.60 / $10,218.60	Professional		$10,218.60	$10,218.60	$10,218.60