Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.29 / $73.54 / $123.88	Facility	26	$73.29	$73.54	$123.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.29 / $98.00 / $195.36	Facility	26	$82.29	$98.00	$195.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $165.61 / $253.72 / $412.00	Facility	26	$165.61	$253.72	$412.00