Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.61 / $270.61 / $270.61	Facility		$270.61	$270.61	$270.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $184.09 / $184.09	Facility		$184.09	$184.09	$184.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $187.15 / $244.42	Professional		$184.09	$187.15	$244.42