Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $85.11 / $85.11	Facility	26	$70.79	$85.11	$85.11