Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $139.30 / $212.92	Facility		$55.72	$139.30	$212.92
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $877.00 / $4,195.06 / $16,419.61	Facility		$877.00	$4,195.06	$16,419.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00