Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.26 / $70.26 / $154.47	Facility	26	$70.26	$70.26	$154.47
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.19 / $155.00 / $186.80	Facility	26	$102.19	$155.00	$186.80
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $158.47 / $169.15 / $401.31	Facility	26	$158.47	$169.15	$401.31