Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $4,224.66 / $4,224.66 / $4,642.35	Facility		$4,224.66	$4,224.66	$4,642.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00