Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $277.67 / $455.53 / $829.54	Professional	26	$277.67	$455.53	$829.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,208.08 / $2,772.64 / $2,772.64	Facility	26	$2,208.08	$2,772.64	$2,772.64