Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.85 / $523.85 / $523.85	Facility	26	$523.85	$523.85	$523.85
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $443.91 / $443.91 / $523.85	Facility	26	$443.91	$443.91	$523.85