Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.99 / $301.10 / $542.70	Facility	26	$174.99	$301.10	$542.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $180.17 / $250.60 / $459.12	Professional	26	$180.17	$250.60	$459.12
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