Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.22 / $155.82 / $218.96	Facility	26	$116.22	$155.82	$218.96
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $105.78 / $147.19 / $513.66	Professional	26	$105.78	$147.19	$513.66
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