Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.86 / $97.66 / $133.87	Facility	26	$53.86	$97.66	$133.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.97 / $97.26 / $343.60	Professional	26	$66.97	$97.26	$343.60
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