Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $512.86	Facility		$251.19	$389.05	$512.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $100.00	Facility		$61.66	$100.00	$100.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $2,951.21	Facility		$1,659.59	$2,884.03	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23