Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.61 / $4.30 / $16.89	Facility	26	$2.61	$4.30	$16.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $18.45 / $29.16	Professional		$13.88	$18.45	$29.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $3.88 / $6.00	Professional	26	$2.61	$3.88	$6.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.11 / $13.91 / $22.90	Professional	TC	$11.11	$13.91	$22.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $27.34 / $46.24	Professional		$17.11	$27.34	$46.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.52 / $6.33 / $10.13	Professional	26	$3.52	$6.33	$10.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $19.88 / $34.56	Professional	TC	$12.47	$19.88	$34.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $13.40 / $17.86	Professional		$2.79	$13.40	$17.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $23.66 / $43.55	Professional		$15.47	$23.66	$43.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.79 / $5.12 / $9.75	Professional	26	$2.79	$5.12	$9.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $18.05 / $33.43	Professional	TC	$12.04	$18.05	$33.43
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $22.58 / $43.55	Professional		$15.09	$22.58	$43.55
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $2.92 / $4.63 / $9.83	Professional	26	$2.92	$4.63	$9.83
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $17.93 / $33.11	Professional	TC	$12.39	$17.93	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.86 / $13.86	Professional		$11.78	$13.86	$13.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $24.00 / $41.22	Professional		$16.64	$24.00	$41.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.52 / $5.43 / $8.96	Professional	26	$3.52	$5.43	$8.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.95 / $32.36	Professional	TC	$13.18	$18.95	$32.36