Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $53.08 / $84.82	Professional		$38.56	$53.08	$84.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $20.46 / $31.57	Professional	26	$16.55	$20.46	$31.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $25.63 / $51.24	Professional	TC	$19.62	$25.63	$51.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Professional		$39.51	$39.51	$39.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $57.03 / $109.48	Professional		$43.61	$57.03	$109.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $22.42 / $37.93	Professional	26	$17.55	$22.42	$37.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $37.40 / $67.83	Professional	TC	$23.71	$37.40	$67.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Professional		$42.49	$42.49	$42.49
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $19.17 / $19.17	Professional	26	$19.17	$19.17	$19.17
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $23.32 / $23.32	Professional	TC	$23.32	$23.32	$23.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $29.15 / $59.49	Professional		$21.09	$29.15	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $50.98 / $108.87	Professional		$36.11	$50.98	$108.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $23.14 / $39.72	Professional	26	$16.29	$23.14	$39.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $29.15 / $67.16	Professional	TC	$19.82	$29.15	$67.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $50.98 / $107.03	Professional		$36.11	$50.98	$107.03
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $23.14 / $39.39	Professional	26	$16.29	$23.14	$39.39
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $28.98 / $66.42	Professional	TC	$19.82	$28.98	$66.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $36.34 / $52.62	Professional		$25.35	$36.34	$52.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $43.52 / $74.33	Professional		$32.40	$43.52	$74.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.97 / $19.14 / $34.76	Professional	26	$14.97	$19.14	$34.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $24.15 / $49.15	Professional	TC	$17.64	$24.15	$49.15