Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $190.55 / $190.55	Facility	26	$138.04	$190.55	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $173.78 / $1,202.26	Professional	26	$123.03	$173.78	$1,202.26
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