Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $258.83 / $258.83 / $258.83	Facility	26	$258.83	$258.83	$258.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $170.15 / $170.15 / $258.83	Facility	26	$170.15	$170.15	$258.83