Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.15 / $92.16 / $154.47	Facility	26	$92.15	$92.16	$154.47
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.55 / $154.00 / $241.00	Facility	26	$102.55	$154.00	$241.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $207.43 / $507.45 / $532.00	Facility	26	$207.43	$507.45	$532.00