Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $5.05	Professional		$4.04	$4.04	$5.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $6.79 / $9.68	Facility		$5.66	$6.79	$9.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $7.17 / $9.13	Professional		$6.85	$7.17	$9.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $17.70 / $21.20	Professional		$7.86	$17.70	$21.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.55 / $8.55	Professional		$8.44	$8.55	$8.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00