Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.25 / $5,532.00 / $17,030.00	Facility		$668.25	$5,532.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $535.54 / $2,027.49	Professional		$236.62	$535.54	$2,027.49
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $48.38 / $149.61 / $329.28	Professional	AS	$48.38	$149.61	$329.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $387.68 / $387.68	Professional		$387.68	$387.68	$387.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,007.00 / $13,707.00	Facility		$2,629.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $498.04 / $871.78	Professional		$319.95	$498.04	$871.78
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $33.63 / $40.31 / $47.95	Professional	AS	$33.63	$40.31	$47.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $283.00 / $629.79	Professional		$195.49	$283.00	$629.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $333.33 / $703.26	Professional		$258.75	$333.33	$703.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $267.54 / $334.43	Professional		$219.66	$267.54	$334.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $317.58 / $583.24	Professional		$230.57	$317.58	$583.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $1,216.90 / $5,000.00	Facility		$555.76	$1,216.90	$5,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $312.20 / $732.30 / $760.56	Facility	62	$312.20	$732.30	$760.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.95 / $117.17 / $121.69	Facility	AS	$49.95	$117.17	$121.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.96 / $1,822.88 / $2,244.60	Professional		$1,780.96	$1,822.88	$2,244.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.10 / $308.51 / $420.52	Facility		$250.10	$308.51	$420.52
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $381.93	Facility	62	$179.42	$179.42	$381.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $97.77 / $97.77 / $97.77	Facility	80	$97.77	$97.77	$97.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $83.11	Facility	AS	$28.71	$28.71	$83.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $343.00 / $675.21	Professional		$258.77	$343.00	$675.21
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $64.44 / $70.31 / $399,840.00	Professional	AS	$64.44	$70.31	$399,840.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $813.82 / $813.82 / $813.82	Professional		$813.82	$813.82	$813.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $285.55 / $373.42	Professional		$215.38	$285.55	$373.42
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.20 / $284.91 / $554.69	Professional		$208.20	$284.91	$554.69