Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,468.69 / $2,748.24 / $5,084.24	Facility		$2,468.69	$2,748.24	$5,084.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,748.24 / $2,748.24 / $2,748.24	Professional		$2,748.24	$2,748.24	$2,748.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,550.89 / $6,236.46 / $9,955.87	Facility		$5,550.89	$6,236.46	$9,955.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,253.95 / $13,253.95 / $13,253.95	Professional		$13,253.95	$13,253.95	$13,253.95