Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $760.58 / $1,067.23 / $1,118.02	Facility	26	$760.58	$1,067.23	$1,118.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $689.17 / $953.33 / $3,425.73	Professional	26	$689.17	$953.33	$3,425.73
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