Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $23.22 / $60.50	Professional		$22.38	$23.22	$60.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $17.94 / $74.72	Professional	26	$16.30	$17.94	$74.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.06 / $6.27 / $15.05	Professional	TC	$6.06	$6.27	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $13.73	Professional		$13.73	$13.73	$13.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $9.91 / $25.75	Professional	26	$9.85	$9.91	$25.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $16.16 / $45.12	Professional		$12.53	$16.16	$45.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $12.16 / $33.24	Professional	26	$9.36	$12.16	$33.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $4.12 / $11.88	Professional	TC	$3.17	$4.12	$11.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Professional		$22.11	$22.11	$22.11
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $22.78 / $22.78	Professional	26	$22.78	$22.78	$22.78
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $6.16 / $6.16 / $6.16	Professional	TC	$6.16	$6.16	$6.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $20.70 / $37.08	Professional		$7.66	$20.70	$37.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $26.84 / $46.72	Professional		$13.74	$26.84	$46.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $19.59 / $36.95	Professional	26	$9.91	$19.59	$36.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $5.80 / $12.64	Professional	TC	$3.37	$5.80	$12.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $27.47 / $53.23	Professional		$13.74	$27.47	$53.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $19.80 / $40.89	Professional	26	$9.91	$19.80	$40.89
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $7.25 / $12.67	Professional	TC	$3.37	$7.25	$12.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $17.23 / $23.98	Professional		$6.74	$17.23	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $29.08 / $53.76	Professional		$17.45	$29.08	$53.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $22.47 / $41.54	Professional	26	$13.48	$22.47	$41.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $6.61 / $11.37	Professional	TC	$3.97	$6.61	$11.37