Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
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