Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $136.69 / $185.09	Facility	26	$73.64	$136.69	$185.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.81 / $134.47 / $631.95	Professional	26	$92.81	$134.47	$631.95
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