Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.42 / $164.42 / $164.42	Facility	26	$164.42	$164.42	$164.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $178.03 / $184.76 / $330.75	Facility	26	$178.03	$184.76	$330.75