Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $377.00 / $443.00	Professional		$66.00	$377.00	$443.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $515.50 / $747.70	Professional		$384.20	$515.50	$747.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $735.53 / $777.52 / $1,340.15	Facility		$735.53	$777.52	$1,340.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.30 / $1,589.17 / $1,589.17	Professional		$1,479.30	$1,589.17	$1,589.17