Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $125.94 / $125.94	Professional		$125.94	$125.94	$125.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $125.94 / $125.94	Professional		$125.94	$125.94	$125.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00