Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $191.00 / $237.00	Professional		$45.00	$191.00	$237.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $281.10 / $402.70	Professional		$209.90	$281.10	$402.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $400.32 / $419.50 / $3,616.95	Facility		$400.32	$419.50	$3,616.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $801.85 / $850.15 / $850.15	Professional		$801.85	$850.15	$850.15