Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.39 / $18.36 / $35.85	Facility	26	$11.39	$18.36	$35.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $45.07 / $81.67	Professional		$36.38	$45.07	$81.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.39 / $30.91	Professional	26	$9.41	$11.39	$30.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $32.26 / $59.21	Professional	TC	$26.09	$32.26	$59.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.50 / $42.38	Professional		$26.05	$31.50	$42.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $15.50 / $20.37	Professional	26	$8.86	$15.50	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $47.63 / $82.01	Professional		$38.20	$47.63	$82.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.78 / $24.60	Professional	26	$11.40	$13.78	$24.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $34.65 / $58.51	Professional	TC	$26.80	$34.65	$58.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $47.54 / $47.54	Professional		$47.54	$47.54	$47.54
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $13.06 / $13.06	Professional	26	$13.06	$13.06	$13.06
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $34.47 / $34.47	Professional	TC	$34.47	$34.47	$34.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $32.13 / $44.32	Professional		$12.18	$32.13	$44.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.86 / $13.50 / $13.50	Facility	26	$12.86	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $55.81 / $96.04	Professional		$36.94	$55.81	$96.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $14.96 / $24.80	Professional	26	$9.92	$14.96	$24.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.76 / $40.58 / $69.53	Professional	TC	$26.76	$40.58	$69.53
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.86 / $12.86 / $13.50	Facility	26	$12.86	$12.86	$13.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $55.81 / $92.66	Professional		$36.65	$55.81	$92.66
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $15.32 / $26.61	Professional	26	$11.07	$15.32	$26.61
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $40.58 / $69.53	Professional	TC	$27.02	$40.58	$69.53
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 $30.92 / $46.32 / $81.98	Professional		$30.92	$46.32	$81.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.90 / $24.00	Professional	26	$9.94	$13.90	$24.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $33.32 / $58.97	Professional	TC	$24.52	$33.32	$58.97