Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,409.00 / $4,470.00	Facility		$772.00	$2,409.00	$4,470.00
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 $1,184.59 / $1,274.08 / $1,274.08	Professional		$1,184.59	$1,274.08	$1,274.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00