Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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