Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.55 / $34.18 / $52.03	Facility	26	$31.55	$34.18	$52.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.00 / $56.10 / $85.86	Facility	26	$45.00	$56.10	$85.86
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.15 / $103.08 / $170.76	Facility	26	$80.15	$103.08	$170.76