Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Professional		$55.55	$55.55	$55.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $63.31 / $52,499.48	Facility		$57.55	$63.31	$52,499.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $71.94 / $77.69	Professional		$63.31	$71.94	$77.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $175.82 / $274.00	Professional		$111.53	$175.82	$274.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $41.40 / $76.30	Professional		$15.61	$41.40	$76.30