Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,119.45 / $1,591.42 / $2,178.16	Facility		$1,119.45	$1,591.42	$2,178.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $281.02 / $318.27 / $426.21	Facility	80	$281.02	$318.27	$426.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $190.31 / $222.80 / $291.25	Facility	AS	$190.31	$222.80	$291.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,040.33 / $4,919.43	Facility		$55.00	$3,040.33	$4,919.43
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $271.20 / $491.94 / $491.94	Facility	AS	$271.20	$491.94	$491.94