Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.43 / $14.60 / $35.85	Facility	26	$10.43	$14.60	$35.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $41.70 / $82.05	Professional		$32.56	$41.70	$82.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.66 / $33.90	Professional	26	$9.41	$13.66	$33.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $28.18 / $53.79	Professional	TC	$23.19	$28.18	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $30.19 / $37.32	Professional		$28.41	$30.19	$37.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $10.18 / $17.73	Professional	26	$8.07	$10.18	$17.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $39.34 / $39.34	Professional	TC	$22.65	$39.34	$39.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $41.92 / $71.09	Professional		$34.88	$41.92	$71.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $13.30 / $24.23	Professional	26	$11.28	$13.30	$24.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $28.45 / $47.86	Professional	TC	$23.48	$28.45	$47.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $41.90	Professional		$41.90	$41.90	$41.90
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Professional	26	$11.95	$11.95	$11.95
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $29.95 / $29.95	Professional	TC	$29.95	$29.95	$29.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $31.89 / $49.71	Professional		$11.14	$31.89	$49.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.86	Facility	26	$12.36	$12.36	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.95 / $83.82	Professional		$32.36	$48.95	$83.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $14.18 / $23.38	Professional	26	$9.43	$14.18	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $34.83 / $59.29	Professional	TC	$22.83	$34.83	$59.29
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.86	Facility	26	$12.36	$12.36	$12.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $49.16 / $84.67	Professional		$32.36	$49.16	$84.67
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $15.13 / $30.26	Professional	26	$10.27	$15.13	$30.26
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $34.88 / $56.85	Professional	TC	$23.57	$34.88	$56.85
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 $32.01 / $42.61 / $73.28	Professional		$32.01	$42.61	$73.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $12.93 / $23.23	Professional	26	$9.69	$12.93	$23.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $28.84 / $51.43	Professional	TC	$21.33	$28.84	$51.43