Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.09 / $13.00 / $33.39	Facility	26	$9.09	$13.00	$33.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $30.98 / $56.88	Professional		$26.08	$30.98	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $9.51 / $20.45	Professional	26	$8.24	$9.51	$20.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $21.66 / $40.70	Professional	TC	$17.95	$21.66	$40.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $12.78 / $13.77	Professional	26	$7.36	$12.78	$13.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $33.74 / $57.02	Professional		$27.40	$33.74	$57.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $11.41 / $19.97	Professional	26	$9.80	$11.41	$19.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $22.22 / $37.29	Professional	TC	$17.60	$22.22	$37.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $21.76 / $31.80	Professional		$10.03	$21.76	$31.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $11.95	Facility	26	$10.79	$10.79	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $39.64 / $69.54	Professional		$26.91	$39.64	$69.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.78 / $21.48	Professional	26	$8.27	$12.78	$21.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $26.86 / $47.35	Professional	TC	$17.97	$26.86	$47.35
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $11.95	Facility	26	$10.79	$10.79	$11.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $40.17 / $64.89	Professional		$27.36	$40.17	$64.89
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $12.78 / $21.00	Professional	26	$8.96	$12.78	$21.00
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $26.64 / $44.31	Professional	TC	$18.55	$26.64	$44.31
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 $25.62 / $34.54 / $60.34	Professional		$25.62	$34.54	$60.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.33 / $19.97	Professional	26	$8.11	$11.33	$19.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $22.69 / $40.45	Professional	TC	$16.39	$22.69	$40.45