Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $57.54	Facility	26	$48.98	$48.98	$57.54