Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $135.99 / $514.12	Professional		$58.92	$135.99	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $16.85 / $51.93	Professional	26	$15.41	$16.85	$51.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $50.28 / $157.19	Professional	TC	$42.07	$50.28	$157.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $44.23 / $135.87	Professional		$34.85	$44.23	$135.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $12.35 / $35.14	Professional	26	$9.50	$12.35	$35.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $32.51 / $103.95	Professional	TC	$25.34	$32.51	$103.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $72.67 / $123.43	Professional		$38.57	$72.67	$123.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $19.13 / $36.85	Professional	26	$9.21	$19.13	$36.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $54.46 / $95.96	Professional	TC	$29.36	$54.46	$95.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $74.12 / $138.25	Professional		$38.57	$74.12	$138.25
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $19.35 / $36.95	Professional	26	$9.21	$19.35	$36.95
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $54.46 / $96.89	Professional	TC	$29.36	$54.46	$96.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $73.36 / $107.49	Professional		$44.73	$73.36	$107.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $89.51 / $169.41	Professional		$52.86	$89.51	$169.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $22.36 / $38.36	Professional	26	$13.04	$22.36	$38.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.82 / $66.36 / $113.13	Professional	TC	$39.82	$66.36	$113.13