Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.50 / $39.50 / $113.56	Facility	26	$39.50	$39.50	$113.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $84.44 / $91.00 / $159.54	Facility	26	$84.44	$91.00	$159.54