Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.48 / $135.27 / $321.51	Facility	26	$89.48	$135.27	$321.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $145.31 / $293.39	Professional		$121.56	$145.31	$293.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.83 / $51.35 / $103.67	Professional	TC	$42.83	$51.35	$103.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $193.65 / $300.00	Professional		$163.41	$193.65	$300.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.96 / $69.00 / $125.09	Professional	TC	$52.96	$69.00	$125.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $95.61 / $147.88	Professional		$52.27	$95.61	$147.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.26 / $115.26 / $115.26	Facility	26	$115.26	$115.26	$115.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $205.36 / $340.06	Professional		$132.29	$205.36	$340.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.07 / $73.66 / $130.66	Professional	TC	$45.07	$73.66	$130.66
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $115.26 / $115.26 / $115.26	Facility	26	$115.26	$115.26	$115.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $196.29 / $339.05	Professional		$138.87	$196.29	$339.05
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $67.25 / $127.62	Professional	TC	$45.27	$67.25	$127.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $116.05 / $174.95	Professional		$65.61	$116.05	$174.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $175.42 / $290.05	Professional		$120.25	$175.42	$290.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.62 / $59.46 / $100.60	Professional	TC	$46.62	$59.46	$100.60