Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.10 / $27.10 / $27.10	Facility	26	$27.10	$27.10	$27.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $48.87 / $58.00 / $101.67	Facility	26	$48.87	$58.00	$101.67