| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $240.69 | $1,203.47 | $2,888.33 | |
CareSource
| Professional | $1.28 | $104.30 | $119,998.80 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $240.69 | $1,203.47 | $2,888.33 | |
CareSource
| Professional | $1.28 | $104.30 | $119,998.80 |