Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $191.86 / $191.86 / $820.13	Facility		$191.86	$191.86	$820.13
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $979.88 / $6,733.56 / $65,274.59	Facility		$979.88	$6,733.56	$65,274.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00