Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $12.10 / $30.04	Facility	26	$8.46	$12.10	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $36.09 / $69.62	Professional		$29.87	$36.09	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.46 / $17.94	Professional	26	$7.51	$8.46	$17.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.64 / $54.45	Professional	TC	$21.94	$27.64	$54.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.90 / $13.99	Professional	26	$6.61	$6.90	$13.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $32.64 / $57.04	Professional		$24.20	$32.64	$57.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $10.84 / $18.95	Professional	26	$9.48	$10.84	$18.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $20.91 / $37.89	Professional	TC	$14.70	$20.91	$37.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $29.22 / $38.26	Professional		$9.03	$29.22	$38.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.74	Facility	26	$10.01	$10.01	$10.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $43.62 / $82.47	Professional		$29.56	$43.62	$82.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.62 / $19.60	Professional	26	$7.65	$11.62	$19.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $32.26 / $60.06	Professional	TC	$22.21	$32.26	$60.06
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.74	Facility	26	$10.01	$10.01	$10.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $43.62 / $74.48	Professional		$29.99	$43.62	$74.48
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.67 / $19.30	Professional	26	$8.31	$11.67	$19.30
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $33.20 / $59.29	Professional	TC	$23.06	$33.20	$59.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.24 / $51.07	Professional		$26.52	$36.24	$51.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.47 / $70.62	Professional		$25.70	$38.47	$70.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.35 / $18.32	Professional	26	$7.53	$10.35	$18.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $28.26 / $50.79	Professional	TC	$17.89	$28.26	$50.79