Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.11 / $302.11 / $506.34	Facility	26	$302.11	$302.11	$506.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $380.69 / $507.58 / $822.51	Facility	26	$380.69	$507.58	$822.51
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,241.67 / $2,241.67 / $2,728.48	Facility	26	$2,241.67	$2,241.67	$2,728.48