Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $165.96 / $173.78	Facility	26	$117.49	$165.96	$173.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $426.58	Professional	26	$112.20	$165.96	$426.58
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