Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $1,977.00 / $3,111.00	Facility		$772.00	$1,977.00	$3,111.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $222.83 / $222.83	Professional		$203.18	$222.83	$222.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00