Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.96 / $112.96 / $187.21	Facility	26	$112.96	$112.96	$187.21
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $120.20 / $145.00 / $268.00	Facility	26	$120.20	$145.00	$268.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $249.44 / $249.44 / $533.04	Facility	26	$249.44	$249.44	$533.04