Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $425.65 / $576.40 / $576.40	Facility	26	$425.65	$576.40	$576.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $374.65 / $524.51 / $936.63	Professional	26	$374.65	$524.51	$936.63
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