Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.37 / $25.73 / $45.27	Facility	26	$15.37	$25.73	$45.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $46.10 / $74.34	Professional		$26.23	$46.10	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.38 / $22.45	Professional	26	$13.75	$15.38	$22.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $30.73 / $51.07	Professional	TC	$12.47	$30.73	$51.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.00 / $19.00 / $19.00	Professional	26	$19.00	$19.00	$19.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $34.31 / $62.60	Professional		$25.36	$34.31	$62.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $17.76 / $31.00	Professional	26	$14.33	$17.76	$31.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.09 / $15.04 / $34.47	Professional	TC	$11.09	$15.04	$34.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $29.22 / $50.16	Professional		$14.93	$29.22	$50.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.77 / $84.30	Professional		$32.86	$49.77	$84.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $19.98 / $31.01	Professional	26	$14.25	$19.98	$31.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $29.88 / $56.84	Professional	TC	$15.56	$29.88	$56.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $46.24 / $77.18	Professional		$30.14	$46.24	$77.18
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $19.61 / $28.64	Professional	26	$14.25	$19.61	$28.64
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $29.22 / $52.48	Professional	TC	$15.67	$29.22	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $33.81 / $49.49	Professional		$25.35	$33.81	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $42.76 / $80.54	Professional		$25.17	$42.76	$80.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $18.17 / $31.76	Professional	26	$12.38	$18.17	$31.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $24.08 / $47.69	Professional	TC	$11.54	$24.08	$47.69