Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $21.38	Professional	26	$7.94	$10.00	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.12 / $50.12	Professional	TC	$19.95	$25.12	$50.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.13 / $22.91	Professional	26	$11.22	$14.13	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $42.66	Professional	TC	$19.95	$26.30	$42.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $23.44	Professional	26	$9.33	$14.13	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $57.54	Professional	TC	$21.88	$32.36	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.80 / $25.12	Professional	26	$9.12	$13.80	$25.12
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $60.26	Professional	TC	$21.38	$31.62	$60.26
SummaCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $23.44	Professional	26	$10.47	$13.18	$23.44
SummaCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $56.23	Professional	TC	$25.12	$31.62	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $20.42	Professional	26	$8.71	$11.48	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $46.77	Professional	TC	$19.95	$26.92	$46.77