Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.84 / $37.11 / $65.30	Facility	26	$21.84	$37.11	$65.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $54.57 / $90.74	Professional		$29.85	$54.57	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $31.67	Professional	26	$19.55	$21.89	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $32.72 / $54.79	Professional	TC	$10.31	$32.72	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $56.79 / $56.79	Professional		$56.79	$56.79	$56.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $40.28 / $73.83	Professional		$30.57	$40.28	$73.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $24.99 / $43.20	Professional	26	$20.05	$24.99	$43.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.97 / $13.64 / $36.38	Professional	TC	$9.97	$13.64	$36.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $30.83 / $59.16	Professional		$21.22	$30.83	$59.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $58.25 / $98.89	Professional		$38.86	$58.25	$98.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $28.24 / $44.32	Professional	26	$20.26	$28.24	$44.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.84 / $30.73 / $59.44	Professional	TC	$12.84	$30.73	$59.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $54.42 / $89.98	Professional		$34.86	$54.42	$89.98
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $27.74 / $40.57	Professional	26	$19.59	$27.74	$40.57
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $30.73 / $54.97	Professional	TC	$12.93	$30.73	$54.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $33.13 / $49.42	Professional		$24.11	$33.13	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.85 / $93.17	Professional		$30.00	$48.85	$93.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $25.50 / $44.86	Professional	26	$17.91	$25.50	$44.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.86 / $24.76 / $48.81	Professional	TC	$9.86	$24.76	$48.81