Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.19 / $303.19 / $303.19	Facility		$303.19	$303.19	$303.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.25 / $206.25 / $206.25	Facility		$206.25	$206.25	$206.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $216.90 / $273.33	Professional		$206.25	$216.90	$273.33