Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $2,754.23	Facility		$263.03	$870.96	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $100.00	Facility		$61.66	$89.13	$100.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,011.87 / $18,620.87	Facility		$1,122.02	$5,011.87	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23