Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.00 / $1,861.00 / $2,897.00	Facility		$667.00	$1,861.00	$2,897.00
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,586.88 / $1,901.26 / $2,289.17	Professional		$1,586.88	$1,901.26	$2,289.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.70 / $540.70 / $674.91	Professional		$540.70	$540.70	$674.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00