Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.40 / $80.40 / $80.40	Facility	26	$80.40	$80.40	$80.40
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $78.00 / $93.01 / $172.22	Facility	26	$78.00	$93.01	$172.22