Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $59.62 / $140.58	Professional	26	$33.04	$59.62	$140.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.19 / $218.19 / $218.19	Facility	26	$218.19	$218.19	$218.19