Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.74 / $267.93 / $492.94	Facility	26	$162.74	$267.93	$492.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.83 / $146.84 / $278.83	Professional	26	$93.83	$146.84	$278.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $460.02 / $460.02 / $460.02	Facility	26	$460.02	$460.02	$460.02