Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $17.72 / $35.78	Facility	26	$9.43	$17.72	$35.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $19.26 / $36.78	Professional		$16.05	$19.26	$36.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $9.73 / $18.32	Professional	26	$8.66	$9.73	$18.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.27 / $9.49 / $16.80	Professional	TC	$7.27	$9.49	$16.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $12.30 / $17.39	Professional	26	$7.56	$12.30	$17.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $25.47 / $47.60	Professional		$19.89	$25.47	$47.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $12.29 / $22.34	Professional	26	$10.03	$12.29	$22.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.72 / $12.14 / $25.21	Professional	TC	$9.72	$12.14	$25.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $12.77 / $23.79	Professional		$8.80	$12.77	$23.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $12.61	Facility	26	$11.16	$11.16	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $26.89 / $48.86	Professional		$16.82	$26.89	$48.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $13.24 / $22.08	Professional	26	$8.66	$13.24	$22.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.47 / $12.79 / $24.84	Professional	TC	$7.47	$12.79	$24.84
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $12.61	Facility	26	$11.16	$11.16	$12.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $25.65 / $50.55	Professional		$17.05	$25.65	$50.55
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $13.60 / $22.92	Professional	26	$9.46	$13.60	$22.92
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $7.60 / $11.99 / $24.48	Professional	TC	$7.60	$11.99	$24.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.73 / $19.23	Professional		$5.72	$6.73	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $22.25 / $40.81	Professional		$16.96	$22.25	$40.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $12.05 / $20.80	Professional	26	$8.80	$12.05	$20.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $10.24 / $19.88	Professional	TC	$7.52	$10.24	$19.88