Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,375.56 / $1,375.56 / $3,645.23	Facility		$1,375.56	$1,375.56	$3,645.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,375.56 / $1,375.56 / $1,375.56	Professional		$1,375.56	$1,375.56	$1,375.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,924.30 / $5,653.55 / $5,653.55	Facility		$2,924.30	$5,653.55	$5,653.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,162.39 / $16,162.39 / $16,162.39	Professional		$16,162.39	$16,162.39	$16,162.39