Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,405.00 / $14,996.00	Facility		$1,622.00	$3,405.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,599.77 / $38,499.62 / $65,624.34	Facility		$1,599.77	$38,499.62	$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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.93 / $2,055.88 / $2,475.34	Professional		$1,715.93	$2,055.88	$2,475.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $654.08 / $654.08 / $717.00	Professional		$654.08	$654.08	$717.00