Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $178.29 / $178.29	Professional		$178.29	$178.29	$178.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $245.01	Facility		$142.63	$142.63	$245.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,338.25 / $2,520.86 / $5,009.88	Facility		$2,338.25	$2,520.86	$5,009.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $218.22 / $273.14	Professional		$156.88	$218.22	$273.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $1,069.73 / $1,069.73	Professional		$710.30	$1,069.73	$1,069.73