Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,089.30 / $8,912.51	Facility		$446.68	$2,089.30	$8,912.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $588.84	Facility		$10.96	$35.48	$588.84