Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $286.39 / $452.03 / $776.46	Professional	26	$286.39	$452.03	$776.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,843.92 / $2,843.92 / $2,843.92	Facility	26	$2,843.92	$2,843.92	$2,843.92