Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.38 / $156.38 / $156.38	Facility	26	$156.38	$156.38	$156.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,268.32 / $1,587.28 / $1,587.28	Facility	26	$1,268.32	$1,587.28	$1,587.28