Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.05 / $175.05 / $175.05	Facility	26	$175.05	$175.05	$175.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $166.45 / $217.00 / $351.77	Facility	26	$166.45	$217.00	$351.77