Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $684.28 / $684.28 / $684.28	Facility	26	$684.28	$684.28	$684.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $246.17 / $434.66 / $747.77	Professional	26	$246.17	$434.66	$747.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,479.91 / $1,479.91 / $1,479.91	Facility	26	$1,479.91	$1,479.91	$1,479.91