Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.83 / $104.83 / $104.83	Facility	26	$104.83	$104.83	$104.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $122.00 / $156.00 / $264.66	Facility	26	$122.00	$156.00	$264.66