Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $60.48 / $144.84	Professional		$47.38	$60.48	$144.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $18.98 / $53.47	Professional	26	$18.93	$18.98	$53.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $41.55 / $91.36	Professional	TC	$28.39	$41.55	$91.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $34.18 / $115.91	Professional		$26.93	$34.18	$115.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $13.66 / $40.70	Professional	26	$10.51	$13.66	$40.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $20.84 / $68.28	Professional	TC	$16.42	$20.84	$68.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $59.47 / $121.31	Professional		$32.68	$59.47	$121.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $23.28 / $42.15	Professional	26	$11.64	$23.28	$42.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $30.88 / $84.05	Professional	TC	$19.80	$30.88	$84.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $57.32 / $125.10	Professional		$32.17	$57.32	$125.10
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $23.28 / $46.57	Professional	26	$11.64	$23.28	$46.57
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $30.88 / $86.42	Professional	TC	$19.41	$30.88	$86.42
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 $39.22 / $65.36 / $119.02	Professional		$39.22	$65.36	$119.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $25.69 / $39.53	Professional	26	$14.58	$25.69	$39.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $39.67 / $73.34	Professional	TC	$17.93	$39.67	$73.34