Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.46 / $37.24 / $64.31	Facility	26	$21.46	$37.24	$64.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $57.53 / $109.13	Professional		$39.60	$57.53	$109.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.45 / $22.23 / $40.27	Professional	26	$19.45	$22.23	$40.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $36.07 / $61.17	Professional	TC	$18.23	$36.07	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $60.28 / $62.79	Professional		$60.28	$60.28	$62.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $51.96 / $89.83	Professional		$39.02	$51.96	$89.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $27.90 / $46.76	Professional	26	$21.56	$27.90	$46.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $23.18 / $43.70	Professional	TC	$16.69	$23.18	$43.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $34.40 / $62.79	Professional		$20.86	$34.40	$62.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $62.79 / $104.92	Professional		$42.65	$62.79	$104.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $28.00 / $48.70	Professional	26	$19.91	$28.00	$48.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $35.03 / $65.81	Professional	TC	$21.93	$35.03	$65.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $62.15 / $93.86	Professional		$40.22	$62.15	$93.86
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $27.32 / $43.12	Professional	26	$19.72	$27.32	$43.12
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $34.38 / $61.60	Professional	TC	$22.22	$34.38	$61.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $33.75 / $49.42	Professional		$24.11	$33.75	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $54.13 / $97.43	Professional		$36.61	$54.13	$97.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $25.73 / $44.29	Professional	26	$17.85	$25.73	$44.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $28.51 / $54.66	Professional	TC	$16.34	$28.51	$54.66