Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.07 / $62.41 / $79.62	Professional	26	$38.07	$62.41	$79.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $100.36 / $100.36 / $100.36	Facility	26	$100.36	$100.36	$100.36