Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,279.93 / $41,999.58 / $68,249.33	Facility		$7,279.93	$41,999.58	$68,249.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $246.72 / $246.72 / $246.72	Facility		$246.72	$246.72	$246.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $128.36 / $176.50	Professional		$112.31	$128.36	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $363.71 / $363.71 / $363.71	Professional		$363.71	$363.71	$363.71