Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $214.32 / $338.42 / $528.99	Professional	26	$214.32	$338.42	$528.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,130.23 / $2,130.23 / $2,130.23	Facility	26	$2,130.23	$2,130.23	$2,130.23