Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.47 / $202.14 / $221.10	Facility	26	$143.47	$202.14	$221.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $135.26 / $194.28 / $689.29	Professional	26	$135.26	$194.28	$689.29
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