Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $16.73 / $35.75	Facility	26	$11.70	$16.73	$35.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $42.73 / $74.89	Professional		$35.47	$42.73	$74.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.42 / $29.08	Professional	26	$9.75	$12.42	$29.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $31.92 / $54.45	Professional	TC	$24.88	$31.92	$54.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $32.95 / $69.25	Professional		$28.83	$32.95	$69.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $13.57 / $15.92	Professional	26	$9.09	$13.57	$15.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $40.99 / $68.33	Professional		$30.70	$40.99	$68.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $13.65 / $23.71	Professional	26	$11.10	$13.65	$23.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $27.66 / $46.47	Professional	TC	$19.60	$27.66	$46.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $33.38 / $53.10	Professional		$12.51	$33.38	$53.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.82 / $13.86 / $13.86	Facility	26	$12.82	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $51.17 / $91.94	Professional		$34.46	$51.17	$91.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $15.37 / $25.46	Professional	26	$9.96	$15.37	$25.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $36.47 / $63.87	Professional	TC	$23.87	$36.47	$63.87
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $12.82 / $12.82 / $13.86	Facility	26	$12.82	$12.82	$13.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $50.88 / $87.23	Professional		$34.82	$50.88	$87.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $15.91 / $31.75	Professional	26	$11.07	$15.91	$31.75
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $37.08 / $61.09	Professional	TC	$24.52	$37.08	$61.09
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 $30.17 / $42.53 / $78.00	Professional		$30.17	$42.53	$78.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $14.09 / $23.58	Professional	26	$9.76	$14.09	$23.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $30.40 / $53.49	Professional	TC	$23.48	$30.40	$53.49