Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $59.26 / $140.41	Professional		$50.78	$59.26	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $20.13 / $64.59	Professional	26	$19.17	$20.13	$64.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $40.09 / $100.89	Professional	TC	$30.85	$40.09	$100.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $37.64 / $113.43	Professional		$29.66	$37.64	$113.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $14.11 / $39.57	Professional	26	$10.94	$14.11	$39.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $23.76 / $67.14	Professional	TC	$18.72	$23.76	$67.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $60.56 / $60.56	Professional		$60.56	$60.56	$60.56
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $41.58 / $41.58	Professional	TC	$41.58	$41.58	$41.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $57.81 / $120.36	Professional		$34.00	$57.81	$120.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $23.58 / $43.30	Professional	26	$11.79	$23.58	$43.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $29.93 / $82.19	Professional	TC	$20.83	$29.93	$82.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $61.88 / $124.12	Professional		$34.00	$61.88	$124.12
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $23.58 / $47.16	Professional	26	$11.79	$23.58	$47.16
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.97 / $31.38 / $82.64	Professional	TC	$19.97	$31.38	$82.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $78.93 / $134.96	Professional		$35.74	$78.93	$134.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $68.00 / $115.60	Professional		$30.05	$68.00	$115.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $26.24 / $48.72	Professional	26	$14.56	$26.24	$48.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $41.14 / $70.79	Professional	TC	$24.09	$41.14	$70.79