Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $457.09 / $1,000.00	Facility	26	$213.80	$457.09	$1,000.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $288.40 / $870.96	Professional	26	$208.93	$288.40	$870.96
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