Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $59.99 / $182.50	Professional	26	$41.34	$59.99	$182.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.84 / $219.84 / $219.84	Facility	26	$219.84	$219.84	$219.84