Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.20 / $4,771.00 / $23,601.00	Facility		$380.20	$4,771.00	$23,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.44 / $378.44 / $640.00	Facility		$378.44	$378.44	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.13 / $37.13 / $37.13	Facility	AS	$37.13	$37.13	$37.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $399.14 / $459.38	Professional		$310.39	$399.14	$459.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.28 / $445.56 / $621.12	Facility		$341.28	$445.56	$621.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $62.38 / $64.97 / $121.58	Facility	AS	$62.38	$64.97	$121.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $333.59 / $448.59 / $1,082.00	Facility		$333.59	$448.59	$1,082.00
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