Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.92 / $213.92 / $213.92	Facility	26	$213.92	$213.92	$213.92
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $177.72 / $177.72 / $213.92	Facility	26	$177.72	$177.72	$213.92