Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $414.02 / $1,114.68	Facility		$159.96	$414.02	$1,114.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $522.50 / $522.50 / $522.50	Professional		$522.50	$522.50	$522.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $393.69 / $553.36 / $1,600.36	Facility		$393.69	$553.36	$1,600.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,984.00 / $2,984.00 / $2,984.00	Professional		$2,984.00	$2,984.00	$2,984.00