Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.65 / $3,633.00 / $13,774.00	Facility		$371.65	$3,633.00	$13,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.90 / $368.90 / $640.00	Facility		$368.90	$368.90	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $225.79 / $225.79 / $225.79	Facility	62	$225.79	$225.79	$225.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.13 / $36.13 / $36.13	Facility	AS	$36.13	$36.13	$36.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $384.95 / $454.26	Professional		$300.74	$384.95	$454.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $332.63 / $443.87 / $680.12	Facility		$332.63	$443.87	$680.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $84.48 / $114.16 / $170.25	Facility	80	$84.48	$114.16	$170.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $59.13 / $79.91 / $119.17	Facility	AS	$59.13	$79.91	$119.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $317.79 / $441.23 / $1,543.69	Facility		$317.79	$441.23	$1,543.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00