Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.38 / $74.38 / $74.38	Facility	26	$74.38	$74.38	$74.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $121.35 / $138.00 / $251.25	Facility	26	$121.35	$138.00	$251.25