Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40,249.60 / $40,249.60 / $40,249.60	Facility		$40,249.60	$40,249.60	$40,249.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,630.14 / $5,950.62 / $7,129.52	Professional		$5,630.14	$5,950.62	$7,129.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $1,075.70 / $1,984.29	Professional		$250.44	$1,075.70	$1,984.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00