Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $390.64 / $5,816.26	Facility		$173.65	$390.64	$5,816.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $435.00 / $1,066.00	Facility		$297.00	$435.00	$1,066.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $100.00 / $1,726.00	Facility		$59.90	$100.00	$1,726.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,943.89 / $10,007.00 / $24,517.05	Facility		$3,943.89	$10,007.00	$24,517.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $575.00	Facility		$118.50	$224.00	$575.00