Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.54 / $111.00 / $168.98	Facility	26	$100.54	$111.00	$168.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.94 / $114.94 / $114.94	Facility	26	$114.94	$114.94	$114.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.09 / $166.09 / $310.10	Facility	26	$117.09	$166.09	$310.10
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $237.22 / $492.86 / $492.86	Facility	26	$237.22	$492.86	$492.86