Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $428.47 / $428.47 / $664.13	Facility	26	$428.47	$428.47	$664.13
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $459.23 / $459.23 / $928.32	Facility	26	$459.23	$459.23	$928.32
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,993.20 / $2,993.20 / $3,782.72	Facility	26	$2,993.20	$2,993.20	$3,782.72