Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.35 / $130.36 / $267.60	Facility	26	$88.35	$130.36	$267.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $80.55 / $160.76	Professional	26	$50.70	$80.55	$160.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $256.38 / $256.38	Facility	26	$128.65	$256.38	$256.38