Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $401.10 / $497.44	Professional		$96.34	$401.10	$497.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00