Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.21 / $39.21 / $39.21	Facility	26	$39.21	$39.21	$39.21
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.94 / $126.93 / $170.84	Facility	26	$68.94	$126.93	$170.84