Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.60 / $58.60 / $58.60	Facility	26	$58.60	$58.60	$58.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $95.09 / $110.00 / $162.96	Facility	26	$95.09	$110.00	$162.96