Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $179.91 / $179.91	Facility	26	$62.50	$179.91	$179.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $113.14 / $266.05	Professional	26	$65.64	$113.14	$266.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $401.31 / $401.31 / $401.31	Facility	26	$401.31	$401.31	$401.31