Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.33 / $100.33 / $100.33	Facility	26	$100.33	$100.33	$100.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.00 / $145.00 / $253.82	Facility	26	$113.00	$145.00	$253.82