Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $375.00 / $375.00 / $375.00	Facility	26	$375.00	$375.00	$375.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $87.23 / $117.96 / $218.24	Facility	26	$87.23	$117.96	$218.24