Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $649.00 / $690.00	Facility		$100.00	$649.00	$690.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,917.82 / $1,917.82 / $1,917.82	Facility		$1,917.82	$1,917.82	$1,917.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00