Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.34 / $65.34 / $65.34	Facility	26	$65.34	$65.34	$65.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $103.94 / $139.69 / $212.93	Facility	26	$103.94	$139.69	$212.93