Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $17.38 / $17.38	Facility	26	$14.79	$17.38	$17.38