Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $207.60 / $319.60	Professional		$3.00	$207.60	$319.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $221.43 / $1,300.00	Facility		$55.00	$221.43	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,157.05	Professional		$1,017.00	$1,017.00	$1,157.05