Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.95 / $74.95 / $74.95	Facility	26	$74.95	$74.95	$74.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $62.46 / $62.46 / $74.95	Facility	26	$62.46	$62.46	$74.95