Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.15 / $89.15 / $232.89	Facility	26	$89.15	$89.15	$232.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $155.54 / $248.00 / $265.60	Facility	26	$155.54	$248.00	$265.60
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $196.11 / $254.86 / $964.10	Facility	26	$196.11	$254.86	$964.10