Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $2,644.00 / $2,937.00	Facility		$1,622.00	$2,644.00	$2,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38,499.62 / $38,499.62 / $38,499.62	Facility		$38,499.62	$38,499.62	$38,499.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,810.87 / $1,810.87 / $1,829.49	Professional		$1,810.87	$1,810.87	$1,829.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00