Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $357.08 / $610.39 / $1,091.26	Professional	26	$357.08	$610.39	$1,091.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,734.83 / $1,734.83 / $1,734.83	Facility	26	$1,734.83	$1,734.83	$1,734.83