Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.82 / $11.18 / $28.86	Facility	26	$7.82	$11.18	$28.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.68 / $73.88	Professional		$29.89	$36.68	$73.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.25 / $25.75	Professional	26	$7.33	$10.25	$25.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.13 / $55.04	Professional	TC	$22.57	$28.13	$55.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $29.59 / $70.45	Professional		$21.59	$29.59	$70.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $8.21 / $13.09	Professional	26	$6.19	$8.21	$13.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $33.53 / $56.26	Professional		$26.66	$33.53	$56.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.27 / $18.11	Professional	26	$8.80	$10.27	$18.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $23.28 / $40.51	Professional	TC	$17.86	$23.28	$40.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Professional		$39.97	$39.97	$39.97
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $9.32 / $9.32	Professional	26	$9.32	$9.32	$9.32
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $30.64 / $30.64	Professional	TC	$30.64	$30.64	$30.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $28.57 / $37.26	Professional		$8.69	$28.57	$37.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $43.57 / $81.26	Professional		$29.16	$43.57	$81.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $11.18 / $18.76	Professional	26	$7.11	$11.18	$18.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $32.00 / $59.73	Professional	TC	$22.21	$32.00	$59.73
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $43.57 / $75.86	Professional		$29.65	$43.57	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $11.46 / $20.87	Professional	26	$7.90	$11.46	$20.87
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $32.90 / $58.18	Professional	TC	$23.06	$32.90	$58.18
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 $25.58 / $37.72 / $68.65	Professional		$25.58	$37.72	$68.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $9.94 / $17.27	Professional	26	$7.35	$9.94	$17.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $28.18 / $50.02	Professional	TC	$17.89	$28.18	$50.02