Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,639.10 / $52,499.48 / $59,702.01	Facility		$2,639.10	$52,499.48	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,639.10 / $2,639.10 / $2,639.10	Professional		$2,639.10	$2,639.10	$2,639.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,043.26 / $3,043.26 / $3,646.17	Professional		$3,043.26	$3,043.26	$3,646.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,434.94 / $2,434.94 / $2,434.94	Professional		$2,434.94	$2,434.94	$2,434.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00