Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.89 / $449.03 / $1,252.52	Professional		$424.89	$449.03	$1,252.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $43.67 / $122.66	Professional	26	$40.70	$43.67	$122.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $381.22 / $400.67 / $1,129.85	Professional	TC	$381.22	$400.67	$1,129.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $337.89 / $887.64	Professional		$259.92	$337.89	$887.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $31.64 / $89.47	Professional	26	$24.34	$31.64	$89.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.58 / $306.25 / $798.17	Professional	TC	$235.58	$306.25	$798.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $497.82 / $820.86	Professional		$327.22	$497.82	$820.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $53.33 / $88.00	Professional	26	$32.99	$53.33	$88.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.24 / $444.49 / $733.41	Professional	TC	$294.24	$444.49	$733.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $497.82 / $820.86	Professional		$301.72	$497.82	$820.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $53.33 / $88.06	Professional	26	$29.63	$53.33	$88.06
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $273.44 / $444.49 / $733.41	Professional	TC	$273.44	$444.49	$733.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $531.85 / $832.17	Professional		$40.44	$531.85	$832.17
United Facility/Professional Professional Modifier Low / Median / High Price $287.57 / $543.12 / $923.30	Professional		$287.57	$543.12	$923.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $58.02 / $100.17	Professional	26	$34.53	$58.02	$100.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.80 / $484.20 / $793.60	Professional	TC	$252.80	$484.20	$793.60