Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $95.50 / $95.50	Facility	26	$77.62	$95.50	$95.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $257.04	Facility	26	$128.82	$128.82	$257.04