Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $19.50 / $28.84	Facility	26	$14.45	$19.50	$28.84