Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $12.53 / $31.13	Facility	26	$8.76	$12.53	$31.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.23 / $89.69 / $442.44	Facility	TC	$28.23	$89.69	$442.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $31.40 / $62.21	Professional		$22.94	$31.40	$62.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.40 / $24.09	Professional	26	$8.11	$9.40	$24.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.87 / $45.59	Professional	TC	$18.32	$21.87	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $24.88 / $27.15	Professional		$19.17	$24.88	$27.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $8.39 / $14.11	Professional	26	$6.69	$8.39	$14.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $21.38 / $21.38	Professional	TC	$18.68	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $34.13 / $56.42	Professional		$27.82	$34.13	$56.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $10.91 / $18.82	Professional	26	$9.15	$10.91	$18.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.40 / $38.26	Professional	TC	$18.55	$23.40	$38.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $27.04 / $42.08	Professional		$9.36	$27.04	$42.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $11.13	Facility	26	$10.36	$10.36	$11.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.22 / $27.15 / $27.15	Facility	TC	$23.22	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.08 / $68.56	Professional		$26.92	$39.08	$68.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.12 / $20.47	Professional	26	$7.95	$12.12	$20.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $26.93 / $49.70	Professional	TC	$18.88	$26.93	$49.70
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $11.13	Facility	26	$10.36	$10.36	$11.13
Medical Mutual of Ohio Facility/Professional Facility Modifier TC Low / Median / High Price $23.22 / $27.15 / $360.70	Facility	TC	$23.22	$27.15	$360.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $38.83 / $67.34	Professional		$28.54	$38.83	$67.34
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.56 / $24.07	Professional	26	$8.61	$12.56	$24.07
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.10 / $45.26	Professional	TC	$19.50	$27.10	$45.26
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 $26.04 / $34.90 / $60.96	Professional		$26.04	$34.90	$60.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $10.98 / $18.89	Professional	26	$7.81	$10.98	$18.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $23.84 / $42.05	Professional	TC	$16.95	$23.84	$42.05