Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $245.47	Facility		$69.18	$69.18	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $91.20	Facility		$67.61	$89.13	$91.20
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $69.18 / $1,905.46	Facility		$1.17	$69.18	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23