Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.49 / $10.71 / $25.42	Facility	26	$7.49	$10.71	$25.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $23.94 / $43.04	Professional		$20.52	$23.94	$43.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.00 / $21.86	Professional	26	$6.74	$8.00	$21.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.63 / $16.76 / $29.94	Professional	TC	$13.63	$16.76	$29.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $8.74 / $12.74	Professional	26	$5.82	$8.74	$12.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.96 / $42.29	Professional		$19.10	$24.96	$42.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $9.10 / $16.05	Professional	26	$7.70	$9.10	$16.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.40 / $15.95 / $26.71	Professional	TC	$11.40	$15.95	$26.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $26.02	Professional		$26.02	$26.02	$26.02
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $8.59 / $8.59	Professional	26	$8.59	$8.59	$8.59
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $17.43 / $17.43	Professional	TC	$17.43	$17.43	$17.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $18.46 / $30.86	Professional		$8.01	$18.46	$30.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.05	Facility	26	$8.86	$8.86	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $30.43 / $53.05	Professional		$20.30	$30.43	$53.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $10.19 / $16.54	Professional	26	$6.68	$10.19	$16.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.59 / $20.27 / $35.49	Professional	TC	$13.59	$20.27	$35.49
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.05	Facility	26	$8.86	$8.86	$9.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $30.44 / $50.74	Professional		$20.62	$30.44	$50.74
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $10.53 / $20.12	Professional	26	$7.29	$10.53	$20.12
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $14.16 / $20.28 / $33.97	Professional	TC	$14.16	$20.28	$33.97
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 $20.04 / $26.62 / $45.82	Professional		$20.04	$26.62	$45.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $9.13 / $15.77	Professional	26	$6.77	$9.13	$15.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.41 / $17.00 / $29.74	Professional	TC	$12.41	$17.00	$29.74