Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.94 / $227.32 / $426.92	Facility	26	$140.94	$227.32	$426.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.87 / $118.16 / $178.69	Professional	26	$81.87	$118.16	$178.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $396.63 / $396.63 / $396.63	Facility	26	$396.63	$396.63	$396.63