Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $391.34 / $612.63	Facility		$245.05	$391.34	$612.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $81.92 / $112.50	Facility		$76.80	$81.92	$112.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.66 / $317.08 / $318.17	Professional		$264.66	$317.08	$318.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $45.10 / $87.92	Professional		$45.10	$45.10	$87.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $294.06 / $353.38	Professional		$245.05	$294.06	$353.38