Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $927.43 / $1,700.53	Professional		$82.25	$927.43	$1,700.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $52,499.48 / $62,999.37	Facility		$11,374.89	$52,499.48	$62,999.37
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.36 / $158.36 / $350.00	Facility		$158.36	$158.36	$350.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $158.36 / $158.36 / $350.00	Facility		$158.36	$158.36	$350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00