Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $22.39 / $56.23	Facility	26	$15.49	$22.39	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82