Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $479.46 / $627.28 / $741.71	Facility	26	$479.46	$627.28	$741.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $430.79 / $599.19 / $1,026.13	Professional	26	$430.79	$599.19	$1,026.13
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