Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.52 / $159.52 / $264.99	Facility	26	$159.52	$159.52	$264.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $159.19 / $206.00 / $344.06	Facility	26	$159.19	$206.00	$344.06
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $351.86 / $351.86 / $749.12	Facility	26	$351.86	$351.86	$749.12