Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $107.15 / $251.19	Facility	26	$77.62	$107.15	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $91.20 / $131.83	Facility	26	$19.50	$91.20	$131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $91.20 / $131.83	Facility	26	$19.50	$91.20	$131.83
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18