Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.34 / $251.34 / $559.52	Facility		$251.34	$251.34	$559.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.34 / $251.34 / $251.34	Professional		$251.34	$251.34	$251.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $1,075.76 / $1,075.76	Facility		$573.62	$1,075.76	$1,075.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,651.71 / $1,651.71 / $1,651.71	Professional		$1,651.71	$1,651.71	$1,651.71