Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.09 / $14.43 / $35.85	Facility	26	$10.09	$14.43	$35.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $38.34 / $76.68	Professional		$32.26	$38.34	$76.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.09 / $21.39	Professional	26	$8.84	$10.09	$21.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $28.24 / $57.56	Professional	TC	$23.29	$28.24	$57.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $14.78 / $16.26	Professional	26	$7.89	$14.78	$16.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $40.81 / $68.97	Professional		$31.40	$40.81	$68.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $13.30 / $23.98	Professional	26	$11.07	$13.30	$23.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.00 / $27.38 / $46.27	Professional	TC	$20.00	$27.38	$46.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $29.87 / $40.65	Professional		$10.79	$29.87	$40.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $12.86	Facility	26	$11.95	$11.95	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $49.42 / $88.14	Professional		$33.76	$49.42	$88.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $13.89 / $23.59	Professional	26	$9.13	$13.89	$23.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $34.95 / $62.32	Professional	TC	$24.35	$34.95	$62.32
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $12.86	Facility	26	$11.95	$11.95	$12.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $49.10 / $82.78	Professional		$34.04	$49.10	$82.78
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $14.11 / $22.56	Professional	26	$9.93	$14.11	$22.56
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $35.04 / $60.82	Professional	TC	$25.14	$35.04	$60.82
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 $32.22 / $44.18 / $75.53	Professional		$32.22	$44.18	$75.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.42 / $22.04	Professional	26	$8.98	$12.42	$22.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $30.03 / $52.79	Professional	TC	$22.06	$30.03	$52.79