Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $1,047.13	Facility		$501.19	$524.81	$1,047.13
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 $537.03 / $1,202.26 / $3,981.07	Facility		$537.03	$1,202.26	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23