Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.51 / $326.20 / $555.99	Facility	26	$193.51	$326.20	$555.99
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $203.86 / $267.81 / $553.58	Professional	26	$203.86	$267.81	$553.58
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