Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $43.35 / $2,953.45	Facility		$4.96	$43.35	$2,953.45
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,016.62 / $5,959.21 / $51,838.15	Facility		$1,016.62	$5,959.21	$51,838.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00