Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $15.09 / $33.49	Facility	26	$9.11	$15.09	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.54 / $61.66	Professional		$27.87	$32.54	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $9.63 / $20.44	Professional	26	$8.23	$9.63	$20.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $23.28 / $43.59	Professional	TC	$19.44	$23.28	$43.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $26.24 / $62.21	Professional		$21.76	$26.24	$62.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $7.13 / $8.71	Professional	26	$6.97	$7.13	$8.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.09 / $32.95 / $32.95	Professional	TC	$21.09	$32.95	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $35.92 / $62.29	Professional		$29.30	$35.92	$62.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $12.12 / $22.11	Professional	26	$10.07	$12.12	$22.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $24.15 / $40.93	Professional	TC	$18.89	$24.15	$40.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $25.09 / $25.09	Professional	TC	$25.09	$25.09	$25.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $23.39 / $33.13	Professional		$9.76	$23.39	$33.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $41.99 / $71.69	Professional		$27.69	$41.99	$71.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $12.56 / $21.32	Professional	26	$8.24	$12.56	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $28.81 / $48.89	Professional	TC	$19.18	$28.81	$48.89
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $41.99 / $67.73	Professional		$27.69	$41.99	$67.73
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $13.00 / $24.83	Professional	26	$9.00	$13.00	$24.83
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $28.81 / $47.61	Professional	TC	$19.80	$28.81	$47.61
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 $27.43 / $36.14 / $62.20	Professional		$27.43	$36.14	$62.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.52 / $20.34	Professional	26	$8.34	$11.52	$20.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $24.79 / $43.19	Professional	TC	$17.64	$24.79	$43.19