Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $205.93 / $340.31 / $652.58	Professional	26	$205.93	$340.31	$652.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,052.08 / $2,052.08 / $2,052.08	Facility	26	$2,052.08	$2,052.08	$2,052.08