Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,398.00 / $2,170.00	Facility		$937.00	$1,398.00	$2,170.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34,499.66 / $38,499.62 / $65,624.34	Facility		$34,499.66	$38,499.62	$65,624.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $127,498.73	Professional		$104,998.95	$104,998.95	$127,498.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $342.77 / $342.77	Professional		$177.74	$342.77	$342.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00