Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $89.89	Professional		$89.89	$89.89	$89.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $99.65 / $52,499.48	Facility		$90.59	$99.65	$52,499.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $113.23 / $122.29	Professional		$99.64	$113.23	$122.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $321.44 / $438.72	Professional		$207.76	$321.44	$438.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $85.00 / $120.66	Professional		$29.94	$85.00	$120.66