Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.70 / $17.64 / $44.37	Facility	26	$13.70	$17.64	$44.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $39.81 / $95.75	Professional		$34.69	$39.81	$95.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $14.46 / $26.22	Professional	26	$12.81	$14.46	$26.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $25.10 / $38.01	Professional	TC	$21.20	$25.10	$38.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $35.45 / $46.87	Professional		$32.21	$35.45	$46.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $15.50 / $20.63	Professional	26	$11.98	$15.50	$20.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $43.97 / $67.29	Professional		$31.64	$43.97	$67.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $17.52 / $26.25	Professional	26	$13.09	$17.52	$26.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $26.25 / $41.10	Professional	TC	$18.47	$26.25	$41.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $30.72 / $53.14	Professional		$15.80	$30.72	$53.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $48.72 / $74.06	Professional		$35.45	$48.72	$74.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $18.63 / $27.95	Professional	26	$13.48	$18.63	$27.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $29.85 / $45.90	Professional	TC	$20.79	$29.85	$45.90
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $48.95 / $70.78	Professional		$33.63	$48.95	$70.78
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $18.84 / $27.57	Professional	26	$13.44	$18.84	$27.57
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $30.12 / $43.98	Professional	TC	$21.70	$30.12	$43.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $33.13 / $49.20	Professional		$25.04	$33.13	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $41.69 / $74.06	Professional		$30.93	$41.69	$74.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $16.43 / $30.17	Professional	26	$11.67	$16.43	$30.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $25.29 / $42.40	Professional	TC	$18.86	$25.29	$42.40