Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $42.97 / $121.63	Professional		$42.03	$42.97	$121.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $29.37 / $94.22	Professional	26	$27.96	$29.37	$94.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.63 / $14.07 / $38.83	Professional	TC	$13.63	$14.07	$38.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $17.13 / $25.70	Professional	26	$17.13	$17.13	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.46 / $111.58	Professional		$42.47	$60.46	$111.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $42.27 / $78.02	Professional	26	$29.69	$42.27	$78.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $17.85 / $32.89	Professional	TC	$13.84	$17.85	$32.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $41.34 / $41.34	Professional		$39.54	$41.34	$41.34
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $27.58 / $27.58	Professional	26	$26.38	$27.58	$27.58
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $13.16 / $13.75 / $13.75	Professional	TC	$13.16	$13.75	$13.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $51.35 / $94.11	Professional		$25.68	$51.35	$94.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $34.26 / $63.51	Professional	26	$17.13	$34.26	$63.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $17.09 / $30.82	Professional	TC	$8.32	$17.09	$30.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $51.35 / $102.70	Professional		$25.68	$51.35	$102.70
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $34.94 / $69.48	Professional	26	$17.13	$34.94	$69.48
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $17.09 / $33.79	Professional	TC	$8.32	$17.09	$33.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $46.40 / $89.59	Professional		$28.15	$46.40	$89.59
United Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $55.12 / $93.70	Professional		$31.91	$55.12	$93.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $38.10 / $70.31	Professional	26	$20.23	$38.10	$70.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.90 / $16.51 / $30.06	Professional	TC	$9.90	$16.51	$30.06