Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $147.91 / $177.83	Facility	26	$102.33	$147.91	$177.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $144.54 / $537.03	Professional	26	$104.71	$144.54	$537.03
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