Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $780.62 / $1,699.32	Facility		$661.30	$780.62	$1,699.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $812.50 / $1,102.40	Professional		$8.00	$812.50	$1,102.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,384.39 / $3,264.80	Facility		$55.00	$1,384.39	$3,264.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,401.00 / $4,401.00 / $4,401.00	Professional		$4,401.00	$4,401.00	$4,401.00