Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $130.97 / $558.02	Professional	26	$74.09	$130.97	$558.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,303.00 / $3,303.00 / $3,303.00	Facility	26	$3,303.00	$3,303.00	$3,303.00