Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.60 / $31.14 / $54.78	Facility	26	$18.60	$31.14	$54.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $50.00 / $84.48	Professional		$37.79	$50.00	$84.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $21.35 / $30.77	Professional	26	$17.53	$21.35	$30.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $31.39 / $53.05	Professional	TC	$16.04	$31.39	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Professional		$52.29	$52.29	$52.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $21.36 / $24.65	Professional	26	$19.71	$21.36	$24.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $49.10 / $85.87	Professional		$38.20	$49.10	$85.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.43 / $47.38	Professional	26	$19.82	$28.43	$47.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.26 / $20.73 / $38.74	Professional	TC	$15.26	$20.73	$38.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $29.87 / $54.48	Professional		$18.07	$29.87	$54.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $56.36 / $92.61	Professional		$38.82	$56.36	$92.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $25.26 / $45.80	Professional	26	$17.25	$25.26	$45.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $30.41 / $57.14	Professional	TC	$19.41	$30.41	$57.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $55.83 / $83.25	Professional		$35.79	$55.83	$83.25
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $24.13 / $40.77	Professional	26	$17.25	$24.13	$40.77
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $30.23 / $53.05	Professional	TC	$19.41	$30.23	$53.05
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 $33.13 / $51.98 / $88.06	Professional		$33.13	$51.98	$88.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $23.32 / $40.95	Professional	26	$15.37	$23.32	$40.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $24.90 / $46.78	Professional	TC	$14.90	$24.90	$46.78