Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.42 / $19.41 / $37.02	Facility	26	$11.42	$19.41	$37.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $44.93 / $74.26	Professional		$39.00	$44.93	$74.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.36 / $21.96	Professional	26	$10.76	$12.36	$21.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.71 / $31.52 / $51.40	Professional	TC	$27.71	$31.52	$51.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $40.61 / $53.69	Professional		$36.95	$40.61	$53.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $12.53 / $14.72	Professional	26	$10.10	$12.53	$14.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $27.01 / $29.68	Professional	TC	$27.01	$27.01	$29.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $46.13 / $71.04	Professional		$35.81	$46.13	$71.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $13.19 / $20.17	Professional	26	$10.39	$13.19	$20.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $33.03 / $50.41	Professional	TC	$25.41	$33.03	$50.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $40.61 / $40.61	Professional		$40.61	$40.61	$40.61
Aultcare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $11.10 / $11.10	Professional	26	$11.10	$11.10	$11.10
Aultcare Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $38.36 / $65.00	Professional		$13.14	$38.36	$65.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $55.46 / $84.19	Professional		$41.01	$55.46	$84.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $15.54 / $25.06	Professional	26	$11.29	$15.54	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $39.52 / $61.25	Professional	TC	$28.82	$39.52	$61.25
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.94 / $80.90	Professional		$37.36	$54.94	$80.90
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $15.96 / $24.51	Professional	26	$11.26	$15.96	$24.51
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $39.92 / $58.68	Professional	TC	$28.82	$39.92	$58.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.13 / $49.20	Professional		$24.55	$33.13	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $47.50 / $82.28	Professional		$35.36	$47.50	$82.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $13.89 / $24.23	Professional	26	$10.10	$13.89	$24.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $33.64 / $57.70	Professional	TC	$24.74	$33.64	$57.70