Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $317.51 / $500.91 / $613.70	Professional	26	$317.51	$500.91	$613.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,147.76 / $3,147.76 / $3,147.76	Facility	26	$3,147.76	$3,147.76	$3,147.76