Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $60.26	Facility	26	$51.29	$51.29	$60.26