Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.10 / $171.10 / $398.57	Facility	26	$171.10	$171.10	$398.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $173.15 / $291.01 / $297.43	Facility	26	$173.15	$291.01	$297.43