Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $109.00 / $126.00	Professional		$17.00	$109.00	$126.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $173.80 / $208.10	Professional		$129.00	$173.80	$208.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $211.06 / $1,035.15	Facility		$184.37	$211.06	$1,035.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $484.32 / $518.29 / $518.29	Professional		$484.32	$518.29	$518.29