Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,119.89 / $2,323.12 / $3,194.60	Facility		$2,119.89	$2,323.12	$3,194.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $410.25 / $464.62 / $622.28	Facility	80	$410.25	$464.62	$622.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $278.17 / $325.24 / $425.70	Facility	AS	$278.17	$325.24	$425.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,436.09 / $7,191.61	Facility		$55.00	$4,436.09	$7,191.61
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $397.63 / $719.16 / $719.16	Facility	AS	$397.63	$719.16	$719.16