Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $54.60 / $65.00 / $113.40	Facility	26	$54.60	$65.00	$113.40