Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.53 / $115.16 / $268.30	Facility	26	$80.53	$115.16	$268.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.22 / $475.00 / $914.06	Professional		$322.22	$475.00	$914.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.53 / $137.41 / $229.35	Professional	26	$80.53	$137.41	$229.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.83 / $335.00 / $687.01	Professional	TC	$241.83	$335.00	$687.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $241.00 / $246.13	Professional		$227.60	$241.00	$246.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.94 / $67.40 / $126.74	Professional	26	$57.94	$67.40	$126.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $397.29 / $683.22	Professional		$317.36	$397.29	$683.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.36 / $85.79 / $163.38	Professional	26	$57.36	$85.79	$163.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $307.17 / $518.83	Professional	TC	$260.00	$307.17	$518.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $266.39 / $408.38	Professional		$79.66	$266.39	$408.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.90 / $88.30 / $88.30	Facility	26	$79.90	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.54 / $508.43 / $970.97	Professional		$301.54	$508.43	$970.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $104.65 / $175.75	Professional	26	$67.14	$104.65	$175.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.21 / $385.43 / $762.77	Professional	TC	$230.21	$385.43	$762.77
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $79.90 / $79.90 / $88.30	Facility	26	$79.90	$79.90	$88.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $508.43 / $986.16	Professional		$304.45	$508.43	$986.16
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $72.42 / $107.66 / $216.33	Professional	26	$72.42	$107.66	$216.33
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $232.42 / $360.50 / $742.69	Professional	TC	$232.42	$360.50	$742.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $247.52 / $425.35	Professional		$98.87	$247.52	$425.35
United Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $439.01 / $762.50	Professional		$321.89	$439.01	$762.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.27 / $90.43 / $167.46	Professional	26	$68.27	$90.43	$167.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.99 / $323.29 / $608.91	Professional	TC	$244.99	$323.29	$608.91