Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $253.74 / $253.74 / $253.74	Facility	26	$253.74	$253.74	$253.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $276.85 / $433.49 / $455.00	Facility	26	$276.85	$433.49	$455.00