Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,011.00 / $7,315.00 / $14,624.00	Facility		$4,011.00	$7,315.00	$14,624.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38,499.62 / $38,499.62 / $65,624.34	Facility		$38,499.62	$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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,208.69 / $2,208.69 / $2,493.51	Professional		$2,208.69	$2,208.69	$2,493.51