Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.35 / $207.21 / $207.21	Facility	26	$47.35	$207.21	$207.21
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $87.35 / $410.43	Professional	26	$49.50	$87.35	$410.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $683.29 / $683.29 / $683.29	Facility	26	$683.29	$683.29	$683.29