Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $537.03 / $1,258.93	Facility	26	$389.05	$537.03	$1,258.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $457.09 / $660.69	Facility	26	$97.72	$457.09	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $457.09 / $660.69	Facility	26	$97.72	$457.09	$660.69
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	26	$1,047.13	$1,047.13	$1,047.13