Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $422.11 / $422.11 / $422.11	Facility	26	$422.11	$422.11	$422.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $424.35 / $519.00 / $847.60	Facility	26	$424.35	$519.00	$847.60