Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $56.23 / $56.23	Facility	26	$47.86	$56.23	$56.23