Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $230.52 / $230.52 / $385.27	Facility	26	$230.52	$230.52	$385.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $294.77 / $294.77 / $613.66	Facility	26	$294.77	$294.77	$613.66
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,700.64 / $1,700.64 / $2,071.36	Facility	26	$1,700.64	$1,700.64	$2,071.36