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 $111.38 / $168.95 / $265.13	Facility	26	$111.38	$168.95	$265.13