Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.30 / $78.30 / $78.30	Facility	26	$78.30	$78.30	$78.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $131.00 / $167.00 / $249.95	Facility	26	$131.00	$167.00	$249.95