Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $11.84 / $27.78	Facility	26	$8.46	$11.84	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.50 / $64.00	Professional		$24.92	$30.50	$64.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $11.89 / $29.17	Professional	26	$7.51	$11.89	$29.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.93 / $42.08	Professional	TC	$17.57	$21.93	$42.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $23.42 / $29.71	Professional		$21.60	$23.42	$29.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $9.68 / $14.39	Professional	26	$6.48	$9.68	$14.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $28.53 / $48.02	Professional		$20.50	$28.53	$48.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.43 / $18.34	Professional	26	$8.80	$10.43	$18.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.70 / $17.09 / $30.97	Professional	TC	$11.70	$17.09	$30.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $36.79 / $51.79	Professional		$33.39	$36.79	$51.79
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $10.69 / $15.04	Professional	26	$9.69	$10.69	$15.04
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $26.10 / $36.75	Professional	TC	$23.69	$26.10	$36.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $25.18 / $39.63	Professional		$9.03	$25.18	$39.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.92 / $10.01 / $10.01	Facility	26	$9.92	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $36.79 / $67.92	Professional		$25.03	$36.79	$67.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.40 / $18.41	Professional	26	$7.58	$11.40	$18.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $25.25 / $47.14	Professional	TC	$17.45	$25.25	$47.14
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.92 / $9.92 / $10.01	Facility	26	$9.92	$9.92	$10.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $36.70 / $63.38	Professional		$24.61	$36.70	$63.38
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.83 / $22.80	Professional	26	$8.22	$11.83	$22.80
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $26.10 / $44.97	Professional	TC	$18.14	$26.10	$44.97
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 $22.97 / $32.61 / $57.89	Professional		$22.97	$32.61	$57.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.93 / $17.82	Professional	26	$7.67	$9.93	$17.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.30 / $39.40	Professional	TC	$14.13	$22.30	$39.40