Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $8,543.00 / $21,270.00	Facility		$2,181.00	$8,543.00	$21,270.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $845.46 / $845.46 / $3,726.76	Professional		$845.46	$845.46	$3,726.76