Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $1,398.00 / $2,937.00	Facility		$1,077.00	$1,398.00	$2,937.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $368.62 / $510.55 / $510.55	Professional		$368.62	$510.55	$510.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00