Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $80.03 / $80.03	Facility		$80.03	$80.03	$80.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Facility		$54.44	$54.44	$54.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $55.01 / $70.48	Professional		$54.44	$55.01	$70.48