Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.46 / $192.46 / $192.46	Facility	26	$192.46	$192.46	$192.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $198.76 / $268.00 / $445.06	Facility	26	$198.76	$268.00	$445.06