Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.29 / $193.85 / $193.85	Facility	26	$64.29	$193.85	$193.85
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $113.69 / $414.71	Professional	26	$64.20	$113.69	$414.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $964.10 / $964.10 / $964.10	Facility	26	$964.10	$964.10	$964.10