Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,187.76 / $14,791.08	Facility		$851.14	$2,187.76	$14,791.08
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 $75.86 / $346.74 / $912.01	Facility		$75.86	$346.74	$912.01