Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.33 / $3,375.58 / $8,294.00	Facility		$580.33	$3,375.58	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.25 / $574.25 / $640.00	Facility		$574.25	$574.25	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.33 / $56.33 / $56.33	Facility	AS	$56.33	$56.33	$56.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $603.41 / $713.13	Professional		$470.68	$603.41	$713.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $518.40 / $671.65 / $948.67	Facility		$518.40	$671.65	$948.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $94.49 / $95.91 / $185.52	Facility	AS	$94.49	$95.91	$185.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $499.75 / $656.61 / $1,222.51	Facility		$499.75	$656.61	$1,222.51
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