Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $2,561.00 / $8,294.00	Facility		$103.12	$2,561.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $152.33 / $152.33	Facility		$152.33	$152.33	$152.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.23 / $15.23 / $15.23	Facility	AS	$15.23	$15.23	$15.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $134.09 / $159.63	Professional		$120.79	$134.09	$159.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $118.24 / $177.36	Facility		$87.65	$118.24	$177.36
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $16.71 / $21.76 / $29.46	Facility	80	$16.71	$21.76	$29.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $11.70 / $17.12 / $20.62	Facility	AS	$11.70	$17.12	$20.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $122.39 / $1,098.00	Facility		$91.89	$122.39	$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