Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $12.89 / $27.68	Facility	26	$7.79	$12.89	$27.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.45 / $54.07 / $232.18	Facility	TC	$19.45	$54.07	$232.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $27.24 / $50.64	Professional		$24.00	$27.24	$50.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $7.87 / $16.51	Professional	26	$7.01	$7.87	$16.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $19.45 / $37.40	Professional	TC	$17.04	$19.45	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $6.84 / $13.25	Professional	26	$5.94	$6.84	$13.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $31.52 / $52.24	Professional		$25.80	$31.52	$52.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $9.78 / $16.73	Professional	26	$8.19	$9.78	$16.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.70 / $36.26	Professional	TC	$17.78	$21.70	$36.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $31.59	Professional		$31.59	$31.59	$31.59
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $8.93 / $8.93	Professional	26	$8.93	$8.93	$8.93
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $22.64 / $22.64	Professional	TC	$22.64	$22.64	$22.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $21.11 / $29.45	Professional		$8.33	$21.11	$29.45
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 Facility Modifier TC Low / Median / High Price $21.66 / $24.18 / $24.18	Facility	TC	$21.66	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $36.39 / $62.44	Professional		$24.72	$36.39	$62.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $10.75 / $18.17	Professional	26	$7.06	$10.75	$18.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.09 / $44.27	Professional	TC	$17.38	$25.09	$44.27
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 Facility Modifier TC Low / Median / High Price $21.66 / $21.66 / $24.18	Facility	TC	$21.66	$21.66	$24.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $36.42 / $61.56	Professional		$25.90	$36.42	$61.56
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $11.00 / $20.00	Professional	26	$7.66	$11.00	$20.00
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $25.09 / $42.45	Professional	TC	$18.23	$25.09	$42.45
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 $24.05 / $32.11 / $55.18	Professional		$24.05	$32.11	$55.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $9.53 / $16.82	Professional	26	$7.19	$9.53	$16.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $22.28 / $39.36	Professional	TC	$16.53	$22.28	$39.36