Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $2,644.00 / $2,937.00	Facility		$1,622.00	$2,644.00	$2,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65,624.34 / $65,624.34 / $65,624.34	Facility		$65,624.34	$65,624.34	$65,624.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$104,998.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $704.55 / $704.55 / $813.92	Professional		$704.55	$704.55	$813.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00