Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.79 / $3,633.00 / $17,670.00	Facility		$867.79	$3,633.00	$17,670.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $866.56	Facility		$640.00	$640.00	$866.56
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $531.50 / $531.50 / $531.50	Facility	62	$531.50	$531.50	$531.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.04 / $85.04 / $85.04	Facility	AS	$85.04	$85.04	$85.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.35 / $908.37 / $1,073.53	Professional		$707.35	$908.37	$1,073.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $782.71 / $1,025.57 / $1,590.00	Facility		$782.71	$1,025.57	$1,590.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $192.47 / $318.00 / $431.11	Facility	80	$192.47	$318.00	$431.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $134.72 / $222.60 / $301.77	Facility	AS	$134.72	$222.60	$301.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $744.80 / $983.53 / $1,669.88	Facility		$744.80	$983.53	$1,669.88
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,375.00	Facility		$231.00	$1,045.00	$2,375.00