Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $51.41 / $78.02	Professional		$40.72	$51.41	$78.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $8.32 / $13.47	Professional	26	$7.01	$8.32	$13.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $42.34 / $63.21	Professional	TC	$33.97	$42.34	$63.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $58.68	Professional		$45.20	$45.20	$58.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $37.90 / $79.23	Professional		$27.38	$37.90	$79.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $10.18 / $17.98	Professional	26	$7.09	$10.18	$17.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $27.00 / $57.00	Professional	TC	$18.07	$27.00	$57.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $48.60 / $63.18	Professional		$9.01	$48.60	$63.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $57.50 / $95.26	Professional		$38.31	$57.50	$95.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.24 / $16.93	Professional	26	$6.92	$10.24	$16.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.91 / $45.78 / $78.69	Professional	TC	$30.91	$45.78	$78.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $55.94 / $94.12	Professional		$37.21	$55.94	$94.12
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.31 / $16.93	Professional	26	$6.92	$10.31	$16.93
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $31.53 / $47.38 / $77.64	Professional	TC	$31.53	$47.38	$77.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $36.87 / $52.62	Professional		$27.10	$36.87	$52.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $46.34 / $80.70	Professional		$32.26	$46.34	$80.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $8.19 / $14.64	Professional	26	$6.39	$8.19	$14.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $37.72 / $63.34	Professional	TC	$26.63	$37.72	$63.34