Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.74 / $197.56 / $304.55	Facility	26	$118.74	$197.56	$304.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $143.16 / $210.38 / $835.55	Professional	26	$143.16	$210.38	$835.55
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00