Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $439.94 / $439.94 / $439.94	Facility	26	$439.94	$439.94	$439.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $159.49 / $261.79 / $490.28	Professional	26	$159.49	$261.79	$490.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,268.32 / $1,587.28 / $1,587.28	Facility	26	$1,268.32	$1,587.28	$1,587.28