Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $95.50 / $169.82	Facility	26	$57.54	$95.50	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $89.13	Facility	26	$13.18	$61.66	$89.13
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $89.13	Facility	26	$13.18	$61.66	$89.13
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54