Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $194.90 / $343.37 / $639.04	Professional	26	$194.90	$343.37	$639.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,940.48 / $1,940.48 / $1,940.48	Facility	26	$1,940.48	$1,940.48	$1,940.48