Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.60 / $171.01 / $337.91	Facility	26	$93.60	$171.01	$337.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.15 / $832.15 / $1,609.16	Professional		$832.15	$832.15	$1,609.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $738.55 / $753.32 / $1,565.73	Professional	TC	$738.55	$753.32	$1,565.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.38 / $403.99 / $1,030.51	Professional		$259.38	$403.99	$1,030.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.88 / $256.06 / $929.26	Professional	TC	$151.88	$256.06	$929.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $729.19 / $921.60	Professional		$103.85	$729.19	$921.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.29 / $155.29 / $155.29	Facility	26	$155.29	$155.29	$155.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.30 / $1,022.15 / $2,100.31	Professional		$684.30	$1,022.15	$2,100.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $502.58 / $929.26 / $1,827.85	Professional	TC	$502.58	$929.26	$1,827.85
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $155.29 / $155.29 / $155.29	Facility	26	$155.29	$155.29	$155.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.92 / $963.50 / $1,876.73	Professional		$469.92	$963.50	$1,876.73
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $621.21 / $906.96 / $1,755.65	Professional	TC	$621.21	$906.96	$1,755.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $830.31 / $1,298.01	Professional		$102.36	$830.31	$1,298.01
United Facility/Professional Professional Modifier Low / Median / High Price $463.95 / $866.83 / $1,645.69	Professional		$463.95	$866.83	$1,645.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $403.49 / $765.25 / $1,444.10	Professional	TC	$403.49	$765.25	$1,444.10