Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.34 / $47.34 / $47.34	Facility	26	$47.34	$47.34	$47.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $57.00 / $58.00 / $119.63	Facility	26	$57.00	$58.00	$119.63