Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.64 / $342.87 / $623.97	Facility	26	$199.64	$342.87	$623.97
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $206.62 / $287.39 / $527.88	Professional	26	$206.62	$287.39	$527.88
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