Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $165.96 / $295.12	Facility	26	$91.20	$165.96	$295.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $173.78 / $562.34	Professional	26	$107.15	$173.78	$562.34
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