Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.52 / $95.86 / $123.88	Facility	26	$50.52	$95.86	$123.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.53 / $90.00 / $166.44	Professional	26	$63.53	$90.00	$166.44
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