Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $2,187.76 / $5,128.61	Facility		$23.44	$2,187.76	$5,128.61
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,606.93 / $31,622.78	Facility		$1,348.96	$6,606.93	$31,622.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23