Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $439.79 / $439.79 / $439.79	Facility	26	$439.79	$439.79	$439.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $459.23 / $459.40 / $764.50	Facility	26	$459.23	$459.40	$764.50