Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.25 / $101.25 / $169.65	Facility	26	$101.25	$101.25	$169.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.78 / $114.78 / $114.78	Facility	26	$114.78	$114.78	$114.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $118.69 / $131.00 / $240.51	Facility	26	$118.69	$131.00	$240.51
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $239.35 / $488.54 / $488.54	Facility	26	$239.35	$488.54	$488.54