Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $89.13 / $223.87	Facility	26	$63.10	$89.13	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $107.15	Facility	26	$15.85	$74.13	$107.15
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $107.15	Facility	26	$15.85	$74.13	$107.15
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