Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.74 / $773.92 / $773.92	Facility		$541.74	$773.92	$773.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $773.92 / $773.92 / $773.92	Professional		$773.92	$773.92	$773.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,581.68 / $1,777.02 / $65,302.40	Facility		$1,581.68	$1,777.02	$65,302.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,085.30 / $5,085.30 / $5,085.30	Professional		$5,085.30	$5,085.30	$5,085.30