Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $39.81 / $67.61	Facility	26	$33.88	$39.81	$67.61