Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.70 / $280.92 / $280.92	Facility	26	$208.70	$280.92	$280.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $190.93 / $262.80 / $681.03	Professional	26	$190.93	$262.80	$681.03
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