Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.06 / $75.92 / $149.16	Facility	26	$41.06	$75.92	$149.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.78 / $189.81 / $585.75	Professional		$189.78	$189.81	$585.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.75 / $148.75 / $349.56	Professional	TC	$148.75	$148.75	$349.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $245.96 / $403.79	Professional		$225.40	$245.96	$403.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.47 / $194.66 / $332.85	Professional	TC	$178.47	$194.66	$332.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $157.06 / $250.08	Professional		$44.57	$157.06	$250.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.87 / $293.29 / $494.92	Professional		$196.87	$293.29	$494.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.47 / $233.92 / $394.68	Professional	TC	$155.47	$233.92	$394.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.87 / $281.17 / $484.22	Professional		$196.87	$281.17	$484.22
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $157.06 / $228.45 / $388.07	Professional	TC	$157.06	$228.45	$388.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $196.41 / $287.40	Professional		$41.71	$196.41	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $248.50 / $448.40	Professional		$177.44	$248.50	$448.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.90 / $202.38 / $357.76	Professional	TC	$141.90	$202.38	$357.76