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 $159.75 / $159.75 / $317.18	Facility	26	$159.75	$159.75	$317.18