Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $385.18 / $385.18 / $640.42	Facility	26	$385.18	$385.18	$640.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $420.52 / $516.00 / $836.42	Facility	26	$420.52	$516.00	$836.42
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $858.09 / $930.32 / $1,806.62	Facility	26	$858.09	$930.32	$1,806.62