Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.69 / $145.16 / $203.50	Facility	26	$103.69	$145.16	$203.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $196.11 / $196.11 / $196.11	Facility	26	$196.11	$196.11	$196.11