Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.25 / $234.72 / $234.72	Facility	26	$190.25	$234.72	$234.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.14 / $138.00 / $254.27	Professional	26	$86.14	$138.00	$254.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $532.00 / $532.00 / $532.00	Facility	26	$532.00	$532.00	$532.00