Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.58 / $261.58 / $261.58	Facility		$261.58	$261.58	$261.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $177.95 / $177.95	Facility		$177.95	$177.95	$177.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.95 / $183.32 / $235.84	Professional		$177.95	$183.32	$235.84