Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $25.25	Professional		$20.20	$20.20	$25.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $35.79 / $44.73	Facility		$29.82	$35.79	$44.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $32.79 / $41.75	Professional		$31.31	$32.79	$41.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $84.40 / $101.12	Professional		$37.47	$84.40	$101.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $38.20 / $38.20	Professional		$36.65	$38.20	$38.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00