Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.50 / $126.50 / $188.45	Facility		$126.50	$126.50	$188.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $200.51 / $250.63	Professional		$200.51	$200.51	$250.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $128.19 / $165.36	Professional		$108.97	$128.19	$165.36