Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $321.62 / $321.62 / $498.51	Facility	26	$321.62	$321.62	$498.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $351.90 / $351.90 / $714.36	Facility	26	$351.90	$351.90	$714.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,303.44 / $2,303.44 / $2,910.80	Facility	26	$2,303.44	$2,303.44	$2,910.80