Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.68 / $656.68 / $656.68	Facility		$459.68	$656.68	$656.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $656.68 / $656.68 / $656.68	Professional		$656.68	$656.68	$656.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.80 / $1,150.25 / $83,492.39	Facility		$1,023.80	$1,150.25	$83,492.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,317.02 / $4,317.02 / $4,317.02	Professional		$4,317.02	$4,317.02	$4,317.02