Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.15 / $620.15 / $1,116.26	Facility		$620.15	$620.15	$1,116.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,054.70 / $1,054.70 / $1,054.70	Professional		$1,054.70	$1,054.70	$1,054.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $864.05 / $981.87 / $1,138.97	Professional		$864.05	$981.87	$1,138.97
United Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $961.81	Professional		$889.25	$889.25	$961.81