Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $150.00	Professional		$52.80	$52.80	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $155.25 / $61,249.39	Facility		$100.91	$155.25	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $131.96 / $155.25	Professional		$100.91	$131.96	$155.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $149.50 / $271.25	Professional		$86.25	$149.50	$271.25