Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $397.76 / $397.76	Facility	26	$397.76	$397.76	$397.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $420.52 / $633.94 / $678.00	Facility	26	$420.52	$633.94	$678.00