Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $3,080.00 / $7,315.00	Facility		$995.00	$3,080.00	$7,315.00
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 $3,047.09 / $3,650.76 / $4,395.62	Professional		$3,047.09	$3,650.76	$4,395.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,031.58 / $1,256.18	Professional		$1,031.58	$1,031.58	$1,256.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00