Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.82 / $11.18 / $28.86	Facility	26	$7.82	$11.18	$28.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.53 / $60.89	Professional		$26.78	$31.53	$60.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.13 / $23.22	Professional	26	$6.98	$8.13	$23.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.09 / $45.48	Professional	TC	$19.46	$23.09	$45.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $25.10 / $62.91	Professional		$21.97	$25.10	$62.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.83 / $11.91	Professional	26	$6.19	$7.83	$11.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $31.56 / $52.96	Professional		$23.70	$31.56	$52.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.27 / $18.11	Professional	26	$8.80	$10.27	$18.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $20.83 / $35.97	Professional	TC	$14.90	$20.83	$35.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Professional		$35.79	$35.79	$35.79
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $9.32 / $9.32	Professional	26	$9.32	$9.32	$9.32
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $26.47 / $26.47	Professional	TC	$26.47	$26.47	$26.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $24.67 / $33.36	Professional		$8.69	$24.67	$33.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $39.24 / $70.31	Professional		$26.61	$39.24	$70.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $11.02 / $18.28	Professional	26	$7.11	$11.02	$18.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.47 / $27.84 / $50.25	Professional	TC	$19.47	$27.84	$50.25
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $39.24 / $70.81	Professional		$26.61	$39.24	$70.81
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $11.05 / $21.64	Professional	26	$7.90	$11.05	$21.64
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $28.04 / $49.48	Professional	TC	$19.93	$28.04	$49.48
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 $25.36 / $35.08 / $60.89	Professional		$25.36	$35.08	$60.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.80 / $17.28	Professional	26	$7.22	$9.80	$17.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.13 / $24.37 / $42.90	Professional	TC	$17.13	$24.37	$42.90