Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.52 / $245.02 / $445.61	Professional	26	$144.52	$245.02	$445.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $703.92 / $703.92 / $703.92	Facility	26	$703.92	$703.92	$703.92