Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.00 / $28.86	Facility		$5.25	$12.00	$28.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Professional		$14.85	$14.85	$14.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $98.85 / $124.17	Facility		$57.47	$98.85	$124.17