Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $5,743.00 / $22,463.00	Facility		$290.66	$5,743.00	$22,463.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $189.31 / $640.00	Facility		$189.31	$189.31	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $18.57 / $18.57 / $18.57	Facility	AS	$18.57	$18.57	$18.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $199.01 / $234.98	Professional		$155.47	$199.01	$234.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $225.68 / $347.72	Facility		$170.98	$225.68	$347.72
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $42.50 / $58.63 / $87.12	Facility	80	$42.50	$58.63	$87.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $29.75 / $41.04 / $60.98	Facility	AS	$29.75	$41.04	$60.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.25 / $221.75 / $1,291.00	Facility		$156.25	$221.75	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00