Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $134.90	Facility	26	$107.15	$107.15	$134.90
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $112.20 / $489.78	Facility	26	$107.15	$112.20	$489.78