Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.50 / $3,633.00 / $8,920.00	Facility		$274.50	$3,633.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.48 / $275.48 / $640.00	Facility		$275.48	$275.48	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $27.03 / $27.03 / $27.03	Facility	AS	$27.03	$27.03	$27.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $287.63 / $331.62	Professional		$224.07	$287.63	$331.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.19 / $321.54 / $448.44	Facility		$250.19	$321.54	$448.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $45.02 / $46.99 / $87.82	Facility	AS	$45.02	$46.99	$87.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $243.69 / $324.16 / $819.00	Facility		$243.69	$324.16	$819.00
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