Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $187.78 / $264.74	Facility	26	$173.90	$187.78	$264.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $258.80 / $290.39 / $392.60	Facility	26	$258.80	$290.39	$392.60
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $372.83 / $372.83 / $759.81	Facility	26	$372.83	$372.83	$759.81