Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.81 / $5,676.66 / $23,025.00	Facility		$828.81	$5,676.66	$23,025.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $825.13	Facility		$640.00	$640.00	$825.13
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $506.10	Facility	62	$506.10	$506.10	$506.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $80.98	Facility	AS	$80.98	$80.98	$80.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.45 / $863.97 / $1,021.06	Professional		$672.45	$863.97	$1,021.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $745.65 / $979.50 / $1,668.50	Facility		$745.65	$979.50	$1,668.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.98 / $303.20 / $411.31	Facility	80	$183.98	$303.20	$411.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.79 / $212.24 / $287.92	Facility	AS	$128.79	$212.24	$287.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $709.03 / $961.55 / $3,429.89	Facility		$709.03	$961.55	$3,429.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $27,201.00	Facility		$7,408.00	$13,296.00	$27,201.00