Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.47 / $136.96 / $150.99	Facility	26	$101.47	$136.96	$150.99
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.83 / $129.12 / $224.88	Professional	26	$92.83	$129.12	$224.88
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