Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $72.94 / $116.75	Professional		$72.94	$72.94	$116.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $202.50 / $61,249.39	Facility		$12.22	$202.50	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $151.88 / $202.50	Professional		$13.85	$151.88	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $83.06	Professional		$83.06	$83.06	$83.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $83.06	Professional		$83.06	$83.06	$83.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $165.00 / $172.50	Professional		$50.00	$165.00	$172.50