Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $1,348.96	Facility		$245.47	$446.68	$1,348.96
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 $2,951.21 / $6,606.93 / $16,218.10	Facility		$2,951.21	$6,606.93	$16,218.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23