Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,969.00 / $9,132.00 / $18,158.00	Facility		$2,969.00	$9,132.00	$18,158.00
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 $1,989.13 / $1,989.13 / $2,363.00	Professional		$1,989.13	$1,989.13	$2,363.00