Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $306.80 / $306.80 / $514.64	Facility	26	$306.80	$306.80	$514.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $378.86 / $464.55 / $837.56	Facility	26	$378.86	$464.55	$837.56
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,273.60 / $2,273.60 / $2,768.08	Facility	26	$2,273.60	$2,273.60	$2,768.08