Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $147.94 / $236.34	Professional		$92.16	$147.94	$236.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $17.79 / $35.06	Professional	26	$17.79	$17.79	$35.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.77 / $130.16 / $237.67	Professional	TC	$79.77	$130.16	$237.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $83.25 / $300.72	Professional		$64.54	$83.25	$300.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $25.36 / $56.56	Professional	26	$20.29	$25.36	$56.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $57.52 / $245.53	Professional	TC	$44.25	$57.52	$245.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $173.52 / $285.77	Professional		$21.60	$173.52	$285.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $164.08 / $286.05	Professional		$84.62	$164.08	$286.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $25.54 / $61.10	Professional	26	$10.80	$25.54	$61.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $120.78 / $243.07	Professional	TC	$71.90	$120.78	$243.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $164.08 / $286.31	Professional		$84.62	$164.08	$286.31
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $25.77 / $49.78	Professional	26	$10.80	$25.77	$49.78
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $71.16 / $120.78 / $250.66	Professional	TC	$71.16	$120.78	$250.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $183.27 / $287.67	Professional		$40.43	$183.27	$287.67
United Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $169.24 / $277.41	Professional		$101.54	$169.24	$277.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $25.67 / $52.93	Professional	26	$15.27	$25.67	$52.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.27 / $143.79 / $244.06	Professional	TC	$86.27	$143.79	$244.06