Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $103.64 / $182.97 / $314.81	Professional	26	$103.64	$182.97	$314.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $505.63 / $505.63 / $505.63	Facility	26	$505.63	$505.63	$505.63