Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $13.45 / $28.86	Facility	26	$8.13	$13.45	$28.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $31.23 / $63.60	Professional		$26.75	$31.23	$63.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $8.28 / $17.23	Professional	26	$7.28	$8.28	$17.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $23.10 / $44.56	Professional	TC	$19.64	$23.10	$44.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $25.46 / $60.40	Professional		$22.27	$25.46	$60.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $6.48 / $11.91	Professional	26	$6.41	$6.48	$11.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $33.22 / $56.65	Professional		$25.90	$33.22	$56.65
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 $17.10 / $22.90 / $38.54	Professional	TC	$17.10	$22.90	$38.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $23.39 / $32.07	Professional		$8.69	$23.39	$32.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $10.31	Facility	26	$9.61	$9.61	$10.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $39.57 / $70.11	Professional		$26.71	$39.57	$70.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $11.08 / $18.89	Professional	26	$7.36	$11.08	$18.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $28.66 / $50.14	Professional	TC	$19.22	$28.66	$50.14
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $10.31	Facility	26	$9.61	$9.61	$10.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $40.33 / $66.77	Professional		$27.00	$40.33	$66.77
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $11.18 / $18.16	Professional	26	$7.98	$11.18	$18.16
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.81 / $48.22	Professional	TC	$19.50	$28.81	$48.22
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 $24.15 / $34.10 / $59.74	Professional		$24.15	$34.10	$59.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.99 / $17.54	Professional	26	$7.04	$9.99	$17.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $24.01 / $42.52	Professional	TC	$17.85	$24.01	$42.52