Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.94 / $63.52 / $111.74	Facility	26	$37.94	$63.52	$111.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $74.34 / $126.31	Professional		$65.84	$74.34	$126.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $44.39 / $74.73	Professional	26	$35.17	$44.39	$74.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $36.40 / $61.17	Professional	TC	$21.05	$36.40	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $71.27 / $71.27	Professional		$71.27	$71.27	$71.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $35.19 / $36.86	Professional	26	$35.19	$35.19	$36.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $77.48 / $134.80	Professional		$61.03	$77.48	$134.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $50.42 / $84.93	Professional	26	$39.68	$50.42	$84.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $27.17 / $48.79	Professional	TC	$20.27	$27.17	$48.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $43.79 / $81.12	Professional		$34.40	$43.79	$81.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $90.70 / $139.44	Professional		$62.32	$90.70	$139.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $51.89 / $87.97	Professional	26	$35.19	$51.89	$87.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $36.67 / $65.81	Professional	TC	$22.85	$36.67	$65.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $90.70 / $131.82	Professional		$60.66	$90.70	$131.82
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $48.74 / $81.33	Professional	26	$34.93	$48.74	$81.33
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $36.17 / $61.71	Professional	TC	$22.50	$36.17	$61.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $46.40 / $84.70	Professional		$27.96	$46.40	$84.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $77.75 / $136.27	Professional		$53.80	$77.75	$136.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $47.08 / $79.00	Professional	26	$31.36	$47.08	$79.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $30.86 / $57.74	Professional	TC	$19.59	$30.86	$57.74