Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.24 / $130.24 / $130.24	Facility	26	$130.24	$130.24	$130.24
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $154.61 / $233.00 / $265.22	Facility	26	$154.61	$233.00	$265.22