Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $91.04 / $91.04	Facility	26	$91.04	$91.04	$91.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.70 / $74.70 / $91.04	Facility	26	$74.70	$74.70	$91.04