Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.28 / $158.28 / $263.05	Facility	26	$158.28	$158.28	$263.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $157.50 / $206.00 / $412.74	Facility	26	$157.50	$206.00	$412.74
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $349.87 / $349.87 / $743.04	Facility	26	$349.87	$349.87	$743.04