Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.96 / $203.96 / $244.09	Facility	26	$203.96	$203.96	$244.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,811.20 / $1,811.20 / $2,263.28	Facility	26	$1,811.20	$1,811.20	$2,263.28