Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.61 / $88.10 / $221.20	Facility	26	$61.61	$88.10	$221.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $355.20 / $613.21	Professional		$289.25	$355.20	$613.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $68.79 / $133.81	Professional	26	$57.15	$68.79	$133.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.64 / $273.69 / $482.60	Professional	TC	$227.64	$273.69	$482.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $47.86 / $92.72	Professional	26	$47.43	$47.86	$92.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.80 / $350.10 / $532.39	Professional		$274.80	$350.10	$532.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $76.54 / $128.49	Professional	26	$64.59	$76.54	$128.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.98 / $277.88 / $416.60	Professional	TC	$214.98	$277.88	$416.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $236.48 / $302.27	Professional		$65.80	$236.48	$302.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $418.14 / $758.33	Professional		$290.33	$418.14	$758.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.83 / $86.82 / $149.05	Professional	26	$60.83	$86.82	$149.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $330.87 / $609.28	Professional	TC	$226.64	$330.87	$609.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.06 / $403.67 / $745.91	Professional		$292.06	$403.67	$745.91
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $60.83 / $86.82 / $144.54	Professional	26	$60.83	$86.82	$144.54
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $231.23 / $315.69 / $603.65	Professional	TC	$231.23	$315.69	$603.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $282.16 / $423.58	Professional		$42.05	$282.16	$423.58
United Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $374.36 / $660.33	Professional		$252.21	$374.36	$660.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.61 / $80.66 / $132.66	Professional	26	$61.61	$80.66	$132.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.84 / $306.33 / $648.77	Professional	TC	$212.84	$306.33	$648.77