Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $808.38 / $1,055.10 / $2,462.02	Facility		$808.38	$1,055.10	$2,462.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,787.40 / $5,707.35 / $26,542.00	Facility		$1,787.40	$5,707.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,246.00 / $4,246.00 / $4,246.00	Professional		$4,246.00	$4,246.00	$4,246.00