Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.78 / $222.39 / $338.56	Facility	26	$200.78	$222.39	$338.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $256.02 / $305.77 / $544.03	Facility	26	$256.02	$305.77	$544.03
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,446.48 / $1,815.52 / $1,815.52	Facility	26	$1,446.48	$1,815.52	$1,815.52