Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $26.26	Professional		$21.21	$21.21	$26.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $36.35 / $45.44	Facility		$30.29	$36.35	$45.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $33.32 / $42.41	Professional		$31.81	$33.32	$42.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $87.12 / $104.38	Professional		$38.69	$87.12	$104.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $39.34 / $39.34	Professional		$37.79	$39.34	$39.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00