Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $210.36 / $210.36 / $265.05	Facility	26	$210.36	$210.36	$265.05
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $177.07 / $177.07 / $265.05	Facility	26	$177.07	$177.07	$265.05