Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $104.20 / $167.78	Professional		$59.45	$104.20	$167.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00