Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $307.69 / $461.54	Professional		$307.69	$307.69	$461.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $36.40 / $68.50	Professional	26	$36.40	$36.40	$68.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.29 / $271.29 / $538.16	Professional	TC	$271.29	$271.29	$538.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $180.68 / $180.68	Professional		$180.68	$180.68	$180.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $281.73 / $631.95	Professional		$216.72	$281.73	$631.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $27.14 / $74.18	Professional	26	$20.88	$27.14	$74.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $252.63 / $571.05	Professional	TC	$195.84	$252.63	$571.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $361.36 / $722.73	Professional		$180.68	$361.36	$722.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.25 / $44.08 / $81.67	Professional	26	$22.25	$44.08	$81.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.43 / $315.67 / $646.00	Professional	TC	$158.43	$315.67	$646.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $361.36 / $722.73	Professional		$180.68	$361.36	$722.73
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $22.25 / $44.51 / $89.01	Professional	26	$22.25	$44.51	$89.01
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $158.43 / $316.86 / $646.00	Professional	TC	$158.43	$316.86	$646.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $382.56 / $594.66	Professional		$40.43	$382.56	$594.66
United Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $415.33 / $706.06	Professional		$249.20	$415.33	$706.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $49.73 / $84.55	Professional	26	$29.84	$49.73	$84.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.92 / $365.60 / $621.51	Professional	TC	$211.92	$365.60	$621.51