Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.95 / $13.95 / $13.95	Facility	26	$13.95	$13.95	$13.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.00 / $29.00 / $50.16	Facility	26	$23.00	$29.00	$50.16