Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.19 / $213.64 / $310.85	Facility	26	$204.19	$213.64	$310.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $292.27 / $331.52 / $443.34	Facility	26	$292.27	$331.52	$443.34
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $425.38 / $425.38 / $866.45	Facility	26	$425.38	$425.38	$866.45