Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $117.00 / $131.00	Professional		$13.00	$117.00	$131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $118.40 / $189.60	Professional		$87.80	$118.40	$189.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $221.04 / $236.42 / $1,035.15	Facility		$221.04	$236.42	$1,035.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $429.80 / $429.80	Professional		$429.80	$429.80	$429.80