Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $212.95 / $212.95 / $357.46	Facility	26	$212.95	$212.95	$357.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $242.69 / $367.00 / $558.60	Facility	26	$242.69	$367.00	$558.60
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,548.88 / $1,548.88 / $1,890.08	Facility	26	$1,548.88	$1,548.88	$1,890.08