Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $308.76 / $308.76 / $308.76	Facility	26	$308.76	$308.76	$308.76
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $196.79 / $196.79 / $308.76	Facility	26	$196.79	$196.79	$308.76