Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $207.95 / $297.37 / $737.71	Facility	26	$207.95	$297.37	$737.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.97 / $580.23 / $1,401.66	Professional		$432.97	$580.23	$1,401.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $207.95 / $287.37 / $572.66	Professional	26	$207.95	$287.37	$572.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.02 / $347.18 / $763.58	Professional	TC	$225.02	$347.18	$763.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.13 / $319.13 / $444.32	Professional		$319.13	$319.13	$444.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $170.96 / $217.97 / $299.18	Professional	26	$170.96	$217.97	$299.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.87 / $729.35 / $1,308.09	Professional		$531.87	$729.35	$1,308.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $235.23 / $280.39 / $478.88	Professional	26	$235.23	$280.39	$478.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.18 / $445.24 / $811.73	Professional	TC	$294.18	$445.24	$811.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $523.01 / $523.01 / $523.01	Professional		$523.01	$523.01	$523.01
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $252.17 / $252.17 / $252.17	Professional	26	$252.17	$252.17	$252.17
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $270.85 / $270.85 / $270.85	Professional	TC	$270.85	$270.85	$270.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $309.87 / $598.36	Professional		$229.53	$309.87	$598.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $353.10 / $353.10 / $353.10	Facility	26	$353.10	$353.10	$353.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.39 / $691.13 / $1,318.36	Professional		$446.39	$691.13	$1,318.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.70 / $296.91 / $516.16	Professional	26	$213.70	$296.91	$516.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.17 / $355.78 / $857.15	Professional	TC	$231.17	$355.78	$857.15
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $353.10 / $353.10 / $353.10	Facility	26	$353.10	$353.10	$353.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $443.23 / $691.13 / $1,541.49	Professional		$443.23	$691.13	$1,541.49
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $215.22 / $300.56 / $553.90	Professional	26	$215.22	$300.56	$553.90
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $232.97 / $339.23 / $693.14	Professional	TC	$232.97	$339.23	$693.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.38 / $317.56 / $605.87	Professional		$205.38	$317.56	$605.87
United Facility/Professional Professional Modifier Low / Median / High Price $441.37 / $592.85 / $1,201.00	Professional		$441.37	$592.85	$1,201.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $184.13 / $254.74 / $441.60	Professional	26	$184.13	$254.74	$441.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.90 / $309.87 / $668.01	Professional	TC	$233.90	$309.87	$668.01