Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.83 / $327.67 / $614.36	Facility	26	$202.83	$327.67	$614.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $115.41 / $188.49 / $555.95	Professional	26	$115.41	$188.49	$555.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,169.20 / $1,169.20 / $1,169.20	Facility	26	$1,169.20	$1,169.20	$1,169.20