Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.57 / $114.57 / $191.44	Facility	26	$114.57	$114.57	$191.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $120.18 / $145.00 / $279.00	Facility	26	$120.18	$145.00	$279.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $251.66 / $251.66 / $670.89	Facility	26	$251.66	$251.66	$670.89