Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $44.96 / $447.20	Facility		$19.22	$44.96	$447.20
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $56.41 / $164.32 / $5,709.06	Facility		$56.41	$164.32	$5,709.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00