Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $2,931.00 / $6,565.00	Facility		$1,069.00	$2,931.00	$6,565.00
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 $706.57 / $813.35 / $813.35	Professional		$706.57	$813.35	$813.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00