Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $211.63 / $317.45	Professional		$162.83	$211.63	$317.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $43.62 / $131.35	Professional	26	$31.83	$43.62	$131.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.68 / $179.80 / $772.00	Professional	TC	$129.68	$179.80	$772.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $19.19 / $53.72	Professional	26	$19.19	$19.19	$53.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $181.29 / $409.81	Professional		$140.54	$181.29	$409.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $23.77 / $65.86	Professional	26	$18.43	$23.77	$65.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $147.75 / $356.07	Professional	TC	$122.11	$147.75	$356.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $239.12 / $449.48	Professional		$121.77	$239.12	$449.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $38.36 / $73.91	Professional	26	$19.19	$38.36	$73.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.59 / $191.01 / $382.13	Professional	TC	$102.59	$191.01	$382.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $243.55 / $449.48	Professional		$102.41	$243.55	$449.48
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $40.29 / $80.90	Professional	26	$19.19	$40.29	$80.90
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $102.59 / $195.49 / $382.13	Professional	TC	$102.59	$195.49	$382.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $250.55 / $392.82	Professional		$40.43	$250.55	$392.82
United Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $280.08 / $546.74	Professional		$135.35	$280.08	$546.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $45.17 / $69.29	Professional	26	$27.11	$45.17	$69.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.11 / $244.98 / $453.10	Professional	TC	$123.11	$244.98	$453.10