Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $385.86 / $514.24 / $521.11	Facility	26	$385.86	$514.24	$521.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $337.71 / $472.79 / $844.28	Professional	26	$337.71	$472.79	$844.28
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