Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $1,938.00 / $6,827.70	Facility		$71.62	$1,938.00	$6,827.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $75.64 / $75.64	Facility		$75.64	$75.64	$75.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $7.56 / $7.56 / $7.56	Facility	AS	$7.56	$7.56	$7.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $79.59 / $94.75	Professional		$71.25	$79.59	$94.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $66.06 / $103.85	Facility		$44.05	$66.06	$103.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $8.42 / $12.97 / $17.44	Facility	80	$8.42	$12.97	$17.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $5.89 / $10.17 / $12.21	Facility	AS	$5.89	$10.17	$12.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $61.14 / $1,098.00	Facility		$45.77	$61.14	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00