Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $70.79 / $181.97	Facility	26	$50.12	$70.79	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $58.88 / $85.11	Facility	26	$12.88	$58.88	$85.11
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $58.88 / $85.11	Facility	26	$12.88	$58.88	$85.11
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	26	$3,890.45	$3,890.45	$3,890.45