Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $54.95 / $131.83	Facility	26	$37.15	$54.95	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $44.67 / $63.10	Facility	26	$9.55	$44.67	$63.10
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $44.67 / $63.10	Facility	26	$9.55	$44.67	$63.10
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	26	$2,570.40	$2,570.40	$2,570.40