Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.43 / $13.94 / $29.95	Facility	26	$8.43	$13.94	$29.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $28.19 / $56.38	Professional		$20.82	$28.19	$56.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.75 / $28.19	Professional	26	$7.82	$9.75	$28.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.46 / $34.03	Professional	TC	$13.49	$19.46	$34.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $18.05 / $22.77	Professional		$16.53	$18.05	$22.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.48 / $15.07	Professional	26	$6.55	$10.48	$15.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $29.58 / $51.22	Professional		$23.70	$29.58	$51.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.43 / $18.26	Professional	26	$8.80	$10.43	$18.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.54 / $43.73 / $77.37	Professional	50	$35.54	$43.73	$77.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $18.22 / $32.71	Professional	TC	$14.90	$18.22	$32.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $25.71 / $28.33	Professional		$25.71	$25.71	$28.33
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $9.66 / $10.65	Professional	26	$9.66	$9.66	$10.65
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $16.04 / $17.67	Professional	TC	$16.04	$16.04	$17.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.67 / $30.10	Professional		$9.01	$17.67	$30.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $10.70	Facility	26	$9.96	$9.96	$10.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $32.96 / $59.36	Professional		$21.79	$32.96	$59.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.49 / $19.80	Professional	26	$7.76	$11.49	$19.80
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.59 / $22.00 / $36.86	Professional	TC	$13.59	$22.00	$36.86
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $10.70	Facility	26	$9.96	$9.96	$10.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $31.40 / $51.72	Professional		$22.42	$31.40	$51.72
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $11.89 / $22.04	Professional	26	$8.27	$11.89	$22.04
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $14.64 / $21.07 / $35.97	Professional	TC	$14.64	$21.07	$35.97
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 $21.96 / $30.82 / $53.49	Professional		$21.96	$30.82	$53.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $10.31 / $17.87	Professional	26	$6.39	$10.31	$17.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $20.65 / $35.88	Professional	TC	$14.35	$20.65	$35.88