Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $489.54 / $615.67 / $2,813.72	Professional	26	$489.54	$615.67	$2,813.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,906.24 / $3,906.24 / $3,906.24	Facility	26	$3,906.24	$3,906.24	$3,906.24