Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.68 / $188.50 / $188.50	Facility	26	$139.68	$188.50	$188.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $127.97 / $176.77 / $516.39	Professional	26	$127.97	$176.77	$516.39
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