Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $308.93 / $418.47 / $418.47	Facility	26	$308.93	$418.47	$418.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $255.06 / $376.75 / $1,502.13	Professional	26	$255.06	$376.75	$1,502.13
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