Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Facility	26	$47.14	$47.14	$47.14
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $96.00 / $173.87	Facility	26	$75.00	$96.00	$173.87