Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $15.55 / $36.97	Facility	26	$10.40	$15.55	$36.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $46.61 / $79.98	Professional		$35.67	$46.61	$79.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.82 / $31.07	Professional	26	$9.36	$11.82	$31.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $35.28 / $59.95	Professional	TC	$26.01	$35.28	$59.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $42.16 / $76.02	Professional		$27.93	$42.16	$76.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $13.13 / $18.55	Professional	26	$8.08	$13.13	$18.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.65 / $83.16	Professional		$37.36	$47.65	$83.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $13.30 / $24.47	Professional	26	$11.28	$13.30	$24.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $34.04 / $58.80	Professional	TC	$25.98	$34.04	$58.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $33.38 / $51.32	Professional		$11.11	$33.38	$51.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $13.25	Facility	26	$12.30	$12.30	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $53.22 / $93.64	Professional		$34.83	$53.22	$93.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $14.32 / $24.30	Professional	26	$9.60	$14.32	$24.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $38.56 / $66.23	Professional	TC	$24.83	$38.56	$66.23
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $13.25	Facility	26	$12.30	$12.30	$13.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $53.16 / $88.15	Professional		$35.54	$53.16	$88.15
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $14.66 / $28.75	Professional	26	$10.22	$14.66	$28.75
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $38.06 / $64.70	Professional	TC	$25.77	$38.06	$64.70
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 $33.70 / $44.92 / $76.52	Professional		$33.70	$44.92	$76.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $12.53 / $22.08	Professional	26	$8.84	$12.53	$22.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.79 / $55.21	Professional	TC	$24.83	$32.79	$55.21