Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.76 / $17.77 / $36.97	Facility	26	$9.76	$17.77	$36.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $36.67 / $64.48	Professional		$30.09	$36.67	$64.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.46 / $20.94	Professional	26	$8.80	$10.46	$20.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $25.40 / $46.22	Professional	TC	$19.89	$25.40	$46.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $33.25 / $64.72	Professional		$23.86	$33.25	$64.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.32 / $14.30	Professional	26	$7.59	$12.32	$14.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $19.73 / $19.73	Professional	TC	$19.73	$19.73	$19.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $38.82 / $66.92	Professional		$32.83	$38.82	$66.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $13.30 / $24.19	Professional	26	$10.64	$13.30	$24.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $25.82 / $43.15	Professional	TC	$21.45	$25.82	$43.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $27.41 / $43.86	Professional		$10.43	$27.41	$43.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $13.25	Facility	26	$11.56	$11.56	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $43.84 / $78.23	Professional		$29.55	$43.84	$78.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.28 / $13.64 / $23.25	Professional	26	$9.28	$13.64	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $30.34 / $52.54	Professional	TC	$19.88	$30.34	$52.54
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $13.25	Facility	26	$11.56	$11.56	$13.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $43.81 / $75.34	Professional		$30.48	$43.81	$75.34
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $13.76 / $22.80	Professional	26	$9.59	$13.76	$22.80
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $30.50 / $50.24	Professional	TC	$20.44	$30.50	$50.24
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 $27.00 / $37.69 / $63.90	Professional		$27.00	$37.69	$63.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.27 / $21.38	Professional	26	$8.94	$12.27	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $25.58 / $44.57	Professional	TC	$18.71	$25.58	$44.57