Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.30 / $190.90 / $359.19	Facility	26	$112.30	$190.90	$359.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $320.35 / $402.66 / $693.28	Professional	TC	$320.35	$402.66	$693.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.47 / $403.23 / $641.04	Professional	TC	$295.47	$403.23	$641.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.76 / $530.19 / $985.87	Professional	TC	$353.76	$530.19	$985.87
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Low / Median / High Price $348.39 / $520.97 / $780.74	Professional	TC	$348.39	$520.97	$780.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.63 / $482.02 / $801.08	Professional	TC	$317.63	$482.02	$801.08