Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $69.18 / $181.97	Facility	26	$50.12	$69.18	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
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