Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.60 / $220.60 / $353.58	Facility	26	$220.60	$220.60	$353.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $228.00 / $375.00 / $486.12	Facility	26	$228.00	$375.00	$486.12
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $1,640.24 / $2,000.24	Facility	26	$1,640.24	$1,640.24	$2,000.24