Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.68 / $20.99 / $53.20	Facility	26	$14.68	$20.99	$53.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $48.96 / $123.79	Professional		$35.17	$48.96	$123.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $15.45 / $45.10	Professional	26	$13.22	$15.45	$45.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $30.20 / $70.55	Professional	TC	$21.03	$30.20	$70.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $11.45 / $19.96	Professional	26	$11.16	$11.45	$19.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $58.89 / $107.95	Professional		$45.22	$58.89	$107.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.68 / $33.08	Professional	26	$15.74	$18.68	$33.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $41.15 / $72.72	Professional	TC	$29.44	$41.15	$72.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $48.85	Professional		$44.34	$44.34	$48.85
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $16.82 / $18.54	Professional	26	$16.82	$16.82	$18.54
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $27.52 / $30.32	Professional	TC	$27.52	$27.52	$30.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $25.65 / $41.34	Professional		$15.69	$25.65	$41.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $18.97	Facility	26	$17.36	$17.36	$18.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $55.98 / $107.40	Professional		$35.29	$55.98	$107.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.02 / $33.45	Professional	26	$13.24	$20.02	$33.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $36.14 / $74.06	Professional	TC	$21.37	$36.14	$74.06
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $18.97	Facility	26	$17.36	$17.36	$18.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $55.59 / $106.08	Professional		$35.29	$55.59	$106.08
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.68 / $36.61	Professional	26	$14.45	$20.68	$36.61
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $34.52 / $74.06	Professional	TC	$22.15	$34.52	$74.06
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 $35.60 / $48.65 / $87.33	Professional		$35.60	$48.65	$87.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $17.96 / $31.69	Professional	26	$12.73	$17.96	$31.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $29.36 / $59.62	Professional	TC	$19.89	$29.36	$59.62