Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.97 / $243.68 / $433.82	Professional	26	$145.97	$243.68	$433.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $711.50 / $711.50 / $711.50	Facility	26	$711.50	$711.50	$711.50