Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $471.93 / $638.03 / $638.03	Facility	26	$471.93	$638.03	$638.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.21 / $583.95 / $1,445.37	Professional	26	$428.21	$583.95	$1,445.37
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