Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $66.07 / $109.65	Facility	26	$34.67	$66.07	$109.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $204.17	Professional	26	$38.02	$57.54	$204.17
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