Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.54 / $12.61 / $22.19	Facility	26	$7.54	$12.61	$22.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $32.24 / $135.13	Professional		$25.55	$32.24	$135.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.85 / $9.44 / $32.47	Professional	26	$6.85	$9.44	$32.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $22.57 / $46.13	Professional	TC	$18.01	$22.57	$46.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.33 / $7.08 / $9.32	Professional	26	$5.33	$7.08	$9.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $50.35 / $80.33	Professional		$28.91	$50.35	$80.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.51 / $17.78	Professional	26	$7.23	$10.51	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $37.59 / $60.44	Professional	TC	$20.27	$37.59	$60.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $19.75 / $31.19	Professional		$7.33	$19.75	$31.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $37.33 / $69.48	Professional		$24.52	$37.33	$69.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $10.09 / $15.24	Professional	26	$7.22	$10.09	$15.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $26.64 / $53.27	Professional	TC	$17.30	$26.64	$53.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $36.46 / $69.48	Professional		$23.39	$36.46	$69.48
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $10.25 / $15.24	Professional	26	$7.22	$10.25	$15.24
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $25.77 / $49.27	Professional	TC	$17.30	$25.77	$49.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $35.24 / $50.20	Professional		$24.11	$35.24	$50.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $33.71 / $60.52	Professional		$23.57	$33.71	$60.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.92 / $14.75	Professional	26	$6.44	$8.92	$14.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $24.50 / $44.56	Professional	TC	$16.39	$24.50	$44.56