Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,849.19 / $2,030.14 / $2,786.03	Facility		$1,849.19	$2,030.14	$2,786.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $242.35 / $284.22 / $371.56	Facility	AS	$242.35	$284.22	$371.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,870.90 / $6,265.25	Facility		$55.00	$3,870.90	$6,265.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $346.51 / $626.53 / $626.53	Facility	AS	$346.51	$626.53	$626.53