Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.95 / $200.00 / $244.00	Facility	26	$67.95	$200.00	$244.00
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $98.78 / $1,725.00	Professional	26	$45.00	$98.78	$1,725.00