Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,924.00 / $4,470.00	Facility		$816.00	$2,924.00	$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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,917.17 / $5,891.33 / $7,093.32	Professional		$4,917.17	$5,891.33	$7,093.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,865.92 / $1,865.92 / $2,267.96	Professional		$1,865.92	$1,865.92	$2,267.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00