Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $738.62 / $938.44 / $9,405.07	Facility		$738.62	$938.44	$9,405.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $21,691.10	Professional		$5.00	$5.00	$21,691.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,528.58 / $21,234.10	Facility		$55.00	$1,528.58	$21,234.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,578.44 / $28,868.39 / $28,868.39	Professional		$2,578.44	$28,868.39	$28,868.39