Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.65 / $254.01 / $254.01	Facility	26	$167.65	$254.01	$254.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.80 / $181.80 / $181.80	Facility	26	$181.80	$181.80	$181.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.86 / $236.65 / $915.49	Professional	26	$162.86	$236.65	$915.49
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