Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.03 / $18.45 / $43.85	Facility	26	$12.03	$18.45	$43.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $44.79 / $93.09	Professional		$38.77	$44.79	$93.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.47 / $29.78	Professional	26	$10.86	$12.47	$29.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.99 / $64.50	Professional	TC	$27.55	$31.99	$64.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $36.57 / $87.27	Professional		$34.72	$36.57	$87.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $12.16 / $17.61	Professional	26	$9.42	$12.16	$17.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $45.44 / $77.84	Professional		$34.13	$45.44	$77.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $15.17 / $26.44	Professional	26	$12.64	$15.17	$26.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $30.35 / $52.04	Professional	TC	$21.49	$30.35	$52.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $49.65 / $49.65	Professional		$49.65	$49.65	$49.65
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $13.79 / $13.79	Professional	26	$13.79	$13.79	$13.79
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $35.86 / $35.86	Professional	TC	$35.86	$35.86	$35.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $33.43 / $46.29	Professional		$12.86	$33.43	$46.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $15.76	Facility	26	$14.26	$14.26	$15.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $56.53 / $100.26	Professional		$38.72	$56.53	$100.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $16.54 / $28.09	Professional	26	$10.91	$16.54	$28.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.44 / $70.25	Professional	TC	$27.54	$39.44	$70.25
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $15.76	Facility	26	$14.26	$14.26	$15.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $55.61 / $94.26	Professional		$39.08	$55.61	$94.26
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $16.96 / $32.72	Professional	26	$11.84	$16.96	$32.72
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $39.51 / $68.08	Professional	TC	$28.17	$39.51	$68.08
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 $37.25 / $50.28 / $86.73	Professional		$37.25	$50.28	$86.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $15.04 / $26.19	Professional	26	$11.00	$15.04	$26.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $34.50 / $60.03	Professional	TC	$24.86	$34.50	$60.03