Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.69 / $43.69 / $43.69	Facility	26	$43.69	$43.69	$43.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $74.00 / $95.00 / $170.82	Facility	26	$74.00	$95.00	$170.82