Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.44 / $241.23 / $425.41	Facility	26	$140.44	$241.23	$425.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.93 / $132.91 / $264.98	Professional	26	$80.93	$132.91	$264.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $392.09 / $392.09 / $392.09	Facility	26	$392.09	$392.09	$392.09