Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.96 / $1,328.88 / $2,863.47	Facility		$103.96	$1,328.88	$2,863.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.70 / $1,337.70 / $1,473.90	Professional		$1,337.70	$1,337.70	$1,473.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,753.33 / $3,190.88 / $3,190.88	Facility		$1,753.33	$3,190.88	$3,190.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,524.00 / $7,524.00 / $7,524.00	Professional		$7,524.00	$7,524.00	$7,524.00