Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $178.17 / $613.71	Professional		$156.59	$178.17	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.18 / $92.82 / $184.17	Professional	26	$89.18	$92.82	$184.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.41 / $85.35 / $150.30	Professional	TC	$67.41	$85.35	$150.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $141.77 / $357.14	Professional		$109.06	$141.77	$357.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $67.39 / $194.28	Professional	26	$51.84	$67.39	$194.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.27 / $74.76 / $169.91	Professional	TC	$58.27	$74.76	$169.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $227.10 / $355.51	Professional		$108.46	$227.10	$355.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $117.73 / $222.92	Professional	26	$56.06	$117.73	$222.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.83 / $104.81 / $172.93	Professional	TC	$50.83	$104.81	$172.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $220.40 / $433.86	Professional		$108.46	$220.40	$433.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $120.49 / $224.24	Professional	26	$56.06	$120.49	$224.24
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $50.83 / $104.81 / $209.62	Professional	TC	$50.83	$104.81	$209.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $170.70 / $303.01	Professional		$106.59	$170.70	$303.01
United Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $229.00 / $389.30	Professional		$137.40	$229.00	$389.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.80 / $131.34 / $223.29	Professional	26	$78.80	$131.34	$223.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.60 / $97.66 / $180.55	Professional	TC	$58.60	$97.66	$180.55