Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $56.49 / $91.40	Professional		$48.76	$56.49	$91.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $21.59 / $84.15	Professional	26	$20.77	$21.59	$84.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $35.72 / $60.74	Professional	TC	$28.83	$35.72	$60.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $12.67 / $12.76	Professional	26	$12.67	$12.67	$12.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $37.64 / $104.82	Professional		$29.66	$37.64	$104.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $15.53 / $46.98	Professional	26	$11.95	$15.53	$46.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $22.47 / $61.00	Professional	TC	$17.71	$22.47	$61.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $55.79 / $58.33	Professional		$55.79	$55.79	$58.33
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $28.07 / $29.35	Professional	26	$28.07	$28.07	$29.35
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $36.14 / $36.14 / $37.78	Professional	TC	$36.14	$36.14	$37.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $61.21 / $119.55	Professional		$32.77	$61.21	$119.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $25.52 / $47.08	Professional	26	$12.76	$25.52	$47.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $29.91 / $75.09	Professional	TC	$18.52	$29.91	$75.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $61.21 / $122.34	Professional		$32.77	$61.21	$122.34
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $27.35 / $51.04	Professional	26	$12.76	$27.35	$51.04
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $30.40 / $77.44	Professional	TC	$18.52	$30.40	$77.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $78.78 / $134.96	Professional		$35.74	$78.78	$134.96
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $65.55 / $111.44	Professional		$39.33	$65.55	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $28.30 / $48.48	Professional	26	$16.26	$28.30	$48.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $37.04 / $68.48	Professional	TC	$22.22	$37.04	$68.48