Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.98 / $2,871.12 / $8,920.00	Facility		$562.98	$2,871.12	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.42 / $550.42 / $640.00	Facility		$550.42	$550.42	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	62	$337.64	$337.64	$337.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	AS	$54.02	$54.02	$54.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $577.10 / $682.03	Professional		$449.10	$577.10	$682.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $503.85 / $656.40 / $919.70	Facility		$503.85	$656.40	$919.70
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $126.78 / $131.28 / $257.25	Facility	80	$126.78	$131.28	$257.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.74 / $91.90 / $180.08	Facility	AS	$88.74	$91.90	$180.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.06 / $633.88 / $1,185.51	Facility		$479.06	$633.88	$1,185.51
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00