Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.29 / $165.62 / $177.40	Facility	26	$117.29	$165.62	$177.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $113.29 / $157.57 / $371.07	Professional	26	$113.29	$157.57	$371.07
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