Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.99 / $176.34 / $250.97	Facility	26	$98.99	$176.34	$250.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $116.61 / $160.88 / $551.11	Professional	26	$116.61	$160.88	$551.11
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