Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $16.68 / $33.49	Facility	26	$9.11	$16.68	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $29.68 / $58.07	Professional		$25.76	$29.68	$58.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.11 / $18.38	Professional	26	$8.36	$9.11	$18.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.36 / $39.15	Professional	TC	$17.28	$20.36	$39.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $7.09 / $12.42	Professional	26	$7.09	$7.09	$12.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $35.40 / $60.75	Professional		$29.80	$35.40	$60.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $12.89 / $23.15	Professional	26	$11.00	$12.89	$23.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $22.38 / $38.86	Professional	TC	$17.85	$22.38	$38.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $23.69 / $23.69	Professional	TC	$23.69	$23.69	$23.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $25.18 / $40.52	Professional		$9.76	$25.18	$40.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $39.79 / $71.52	Professional		$26.76	$39.79	$71.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.90 / $22.02	Professional	26	$8.58	$12.90	$22.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $26.10 / $47.79	Professional	TC	$17.57	$26.10	$47.79
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $39.15 / $66.77	Professional		$26.76	$39.15	$66.77
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $13.68 / $26.46	Professional	26	$9.00	$13.68	$26.46
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $25.98 / $47.79	Professional	TC	$18.57	$25.98	$47.79
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 $23.92 / $34.27 / $62.40	Professional		$23.92	$34.27	$62.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $11.53 / $23.40	Professional	26	$8.07	$11.53	$23.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.86 / $22.37 / $42.50	Professional	TC	$15.86	$22.37	$42.50