Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.98 / $65.75 / $164.46	Facility	26	$45.98	$65.75	$164.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $307.42 / $618.11	Professional		$267.32	$307.42	$618.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $56.19 / $164.46	Professional	26	$43.47	$56.19	$164.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $257.85 / $520.61	Professional	TC	$223.84	$257.85	$520.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.25 / $35.71 / $62.50	Professional	26	$35.25	$35.71	$62.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.04 / $288.81 / $464.67	Professional		$229.04	$288.81	$464.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $58.03 / $92.31	Professional	26	$50.43	$58.03	$92.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.61 / $223.06 / $369.01	Professional	TC	$178.61	$223.06	$369.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $249.96 / $305.07	Professional		$49.10	$249.96	$305.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $416.60 / $740.46	Professional		$277.33	$416.60	$740.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.79 / $63.72 / $110.36	Professional	26	$45.79	$63.72	$110.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.70 / $355.47 / $661.42	Professional	TC	$232.70	$355.47	$661.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $279.93 / $388.28 / $701.33	Professional		$279.93	$388.28	$701.33
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $46.56 / $69.34 / $120.05	Professional	26	$46.56	$69.34	$120.05
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $238.41 / $344.48 / $634.95	Professional	TC	$238.41	$344.48	$634.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $299.85 / $441.66	Professional		$42.05	$299.85	$441.66
United Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $357.65 / $647.16	Professional		$202.57	$357.65	$647.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.84 / $57.44 / $98.95	Professional	26	$40.84	$57.44	$98.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.12 / $307.44 / $581.48	Professional	TC	$179.12	$307.44	$581.48