Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.13 / $28.74 / $44.42	Facility	26	$26.13	$28.74	$44.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $12.72 / $41.36	Professional	26	$9.16	$12.72	$41.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $18.76 / $61.73	Professional	TC	$14.29	$18.76	$61.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $21.47 / $24.24	Professional	26	$21.47	$21.47	$24.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $24.93 / $50.86	Professional	26	$10.35	$24.93	$50.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $34.83 / $77.25	Professional	TC	$13.18	$34.83	$77.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $33.47 / $53.44	Professional	26	$24.14	$33.47	$53.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $46.64 / $75.23	Professional	TC	$33.15	$46.64	$75.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $32.60 / $49.41	Professional	26	$23.80	$32.60	$49.41
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $45.78 / $69.56	Professional	TC	$33.15	$45.78	$69.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $31.83 / $62.96	Professional	26	$21.39	$31.83	$62.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.27 / $86.89	Professional	TC	$29.51	$44.27	$86.89