Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.66 / $58.62 / $89.25	Facility	26	$47.66	$58.62	$89.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $82.73 / $147.53	Facility	26	$75.00	$82.73	$147.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $123.66 / $253.08 / $253.08	Facility	26	$123.66	$253.08	$253.08