Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.96 / $131.00 / $199.42	Facility	26	$118.96	$131.00	$199.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $146.15 / $148.44 / $318.29	Facility	26	$146.15	$148.44	$318.29
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $578.22 / $578.22	Facility	26	$280.44	$578.22	$578.22