Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $103.00 / $116.00	Professional		$13.00	$103.00	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $124.60 / $207.40	Professional		$92.00	$124.60	$207.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $158.08 / $167.46 / $1,035.15	Facility		$158.08	$167.46	$1,035.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $425.14 / $425.14	Professional		$394.00	$425.14	$425.14