Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.33 / $115.33 / $115.33	Facility	26	$115.33	$115.33	$115.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $118.69 / $180.35 / $200.47	Facility	26	$118.69	$180.35	$200.47