Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.45 / $122.45 / $122.45	Facility	26	$122.45	$122.45	$122.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $121.94 / $171.43 / $315.24	Facility	26	$121.94	$171.43	$315.24