Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.94 / $77.94 / $79.00	Facility	26	$77.94	$77.94	$79.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.74 / $88.74 / $88.74	Facility	26	$88.74	$88.74	$88.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $78.22 / $90.41 / $173.47	Facility	26	$78.22	$90.41	$173.47
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $141.76 / $384.09 / $384.09	Facility	26	$141.76	$384.09	$384.09