Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,174.90 / $3,090.30	Facility		$177.83	$1,174.90	$3,090.30
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 $1,412.54 / $20,417.38 / $48,977.88	Facility		$1,412.54	$20,417.38	$48,977.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23