Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $602.00 / $602.00	Facility		$602.00	$602.00	$602.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $6,022.40 / $9,969.56 / $12,871.73	Facility		$6,022.40	$9,969.56	$12,871.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00