Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,656.33 / $1,749.00 / $3,408.79	Facility		$1,656.33	$1,749.00	$3,408.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,656.33 / $1,656.33 / $1,656.33	Professional		$1,656.33	$1,656.33	$1,656.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.69 / $2,456.69 / $2,456.69	Professional		$2,456.69	$2,456.69	$2,456.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,282.20 / $5,432.86	Facility		$55.00	$3,282.20	$5,432.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00