Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.05 / $163.05 / $163.05	Facility	26	$163.05	$163.05	$163.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $156.76 / $203.00 / $327.47	Facility	26	$156.76	$203.00	$327.47