Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $1,398.00 / $2,412.00	Facility		$516.00	$1,398.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.70 / $470.70 / $470.70	Professional		$470.70	$470.70	$470.70
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 $174.24 / $220.64 / $2,309.40	Professional		$174.24	$220.64	$2,309.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $164.50 / $428.80	Professional		$164.50	$164.50	$428.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00