Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.95 / $104.95 / $104.95	Facility	26	$104.95	$104.95	$104.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $116.73 / $174.00 / $218.10	Facility	26	$116.73	$174.00	$218.10