Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.00 / $1,026.00 / $2,217.00	Facility		$276.00	$1,026.00	$2,217.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $351.60 / $555.59	Professional		$242.98	$351.60	$555.59
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 $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00