I have pally macros for all specs now and my updates will follow the same as on those.
I will update throughout the thread and when a new version comes, the OP will change to always reflect the newest version.
They use similar layouts to the macro builds as well as similar modifiers. Why? because that’s what works for me..
The way I play, I have the nomods built in so when CTRL is held, it will still do the skills that build Holy Power so as to be able to use whatever is tied to the CTRL modifier.
I do not use JUST a Shift or Alt modifier, as I have skills set up on hotkeys bound to Alt 1-6 and Shift 1-6 The nomod:shift/alt is there for this reason. It lets me Hold Shift, stopping the skills with the “nomod:shift/alt” conditional from firing and allowing me to squeeze in whatever ability is on my Alt or Shift hotkeys between all the GCDs that are firing off.
This is the best way I’ve found after 9 years of using and writing macros for GSE to allow the macro to spam like crazy and still be able to use all my utility as well. Several years I kept my macros to myself, sorry community, I should have shared, but sadly when you write a good macro people begin to expect you to personalize it for them. I’m not doing that. I write these for me, and if you want to use them, great. Make them work for you by editing things if you want. Or use as is. Any changes I make are because I like them better. If you suggest a change and I feel it would make it better for me, sure, I may change it to do whatever it is you suggest, but I may not.. Take it or leave it 
My Ret Macro
My Prot Macro