Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	26	$64.73	$64.73	$64.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $121.62 / $139.00 / $236.09	Facility	26	$121.62	$139.00	$236.09