Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.66 / $55.66 / $55.66	Facility	26	$55.66	$55.66	$55.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $120.00 / $215.97	Facility	26	$94.00	$120.00	$215.97