Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $10.90 / $27.68	Facility	26	$7.79	$10.90	$27.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $30.27 / $60.18	Professional		$17.01	$30.27	$60.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $11.13 / $27.95	Professional	26	$7.22	$11.13	$27.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.52 / $86.52 / $86.52	Professional	50	$86.52	$86.52	$86.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $24.03 / $46.78	Professional	TC	$18.82	$24.03	$46.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $24.19 / $38.76	Professional		$19.13	$24.19	$38.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $8.90 / $12.55	Professional	26	$5.94	$8.90	$12.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $22.28 / $26.09	Professional	TC	$22.28	$22.28	$26.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $30.77 / $51.73	Professional		$25.35	$30.77	$51.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.75 / $16.92	Professional	26	$8.44	$9.75	$16.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $46.77 / $78.15	Professional	50	$38.02	$46.77	$78.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $21.97 / $36.04	Professional	TC	$16.89	$21.97	$36.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $38.25 / $53.84	Professional		$34.72	$38.25	$53.84
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.84 / $13.85	Professional	26	$8.93	$9.84	$13.85
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $28.41 / $39.99	Professional	TC	$25.78	$28.41	$39.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $27.41 / $41.19	Professional		$8.33	$27.41	$41.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.86	Facility	26	$9.19	$9.19	$9.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $37.95 / $68.89	Professional		$26.04	$37.95	$68.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.68 / $18.17	Professional	26	$7.06	$10.68	$18.17
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $26.99 / $48.93	Professional	TC	$18.98	$26.99	$48.93
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.86	Facility	26	$9.19	$9.19	$9.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $37.89 / $65.90	Professional		$26.04	$37.89	$65.90
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $11.68 / $22.29	Professional	26	$7.66	$11.68	$22.29
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $27.41 / $47.70	Professional	TC	$19.76	$27.41	$47.70
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 $24.46 / $34.29 / $59.63	Professional		$24.46	$34.29	$59.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.53 / $16.82	Professional	26	$6.98	$9.53	$16.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $24.41 / $43.89	Professional	TC	$17.46	$24.41	$43.89