Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.00 / $7,084.00 / $36,529.00	Facility		$1,294.00	$7,084.00	$36,529.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,616.62 / $38,499.62 / $65,624.34	Facility		$1,616.62	$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 $2,766.28 / $3,314.32 / $3,990.53	Professional		$2,766.28	$3,314.32	$3,990.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,297.35 / $4,297.35 / $4,297.35	Facility		$4,297.35	$4,297.35	$4,297.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,468.39 / $1,494.31 / $1,494.31	Professional		$1,468.39	$1,494.31	$1,494.31
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00