Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.62 / $167.45 / $293.16	Facility	26	$91.62	$167.45	$293.16
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.49 / $149.51 / $503.61	Professional	26	$107.49	$149.51	$503.61
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