Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.33 / $4,899.27 / $23,601.00	Facility		$316.33	$4,899.27	$23,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.57 / $208.57 / $640.00	Facility		$208.57	$208.57	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.47 / $20.47 / $20.47	Facility	AS	$20.47	$20.47	$20.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $217.54 / $257.08	Professional		$169.54	$217.54	$257.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $248.00 / $384.01	Facility		$187.34	$248.00	$384.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $32.40 / $43.82 / $67.04	Facility	AS	$32.40	$43.82	$67.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.46 / $241.65 / $1,291.00	Facility		$171.46	$241.65	$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