Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $297.50 / $297.50 / $374.85	Facility	26	$297.50	$297.50	$374.85
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $251.62 / $251.62 / $374.85	Facility	26	$251.62	$251.62	$374.85