Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $50.65 / $99.21	Professional		$47.35	$50.65	$99.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $19.07 / $55.36	Professional	26	$15.47	$19.07	$55.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.57 / $31.57 / $47.36	Professional	TC	$31.57	$31.57	$47.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $41.74 / $99.30	Professional		$32.11	$41.74	$99.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $14.97 / $36.79	Professional	26	$11.52	$14.97	$36.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $26.76 / $62.99	Professional	TC	$20.59	$26.76	$62.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $57.67 / $107.66	Professional		$29.88	$57.67	$107.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $22.94 / $39.08	Professional	26	$11.59	$22.94	$39.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $35.61 / $68.58	Professional	TC	$18.29	$35.61	$68.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $59.76 / $107.66	Professional		$29.88	$59.76	$107.66
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $23.18 / $44.47	Professional	26	$11.59	$23.18	$44.47
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $36.58 / $68.58	Professional	TC	$18.29	$36.58	$68.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $46.40 / $89.50	Professional		$28.15	$46.40	$89.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $69.02 / $119.87	Professional		$36.68	$69.02	$119.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $26.01 / $49.62	Professional	26	$13.27	$26.01	$49.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.41 / $43.01 / $73.53	Professional	TC	$23.41	$43.01	$73.53