Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $4,771.00 / $10,556.28	Facility		$95.56	$4,771.00	$10,556.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $526.00 / $925.00	Facility		$94.88	$526.00	$925.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	AS	$9.25	$9.25	$9.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $97.04 / $139.12	Professional		$77.63	$97.04	$139.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $112.94 / $174.87	Facility		$86.88	$112.94	$174.87
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $21.11 / $24.80 / $45.40	Facility	80	$21.11	$24.80	$45.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $14.78 / $17.36 / $31.78	Facility	AS	$14.78	$17.36	$31.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $107.25 / $192.86	Facility		$84.24	$107.25	$192.86
United Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $724.00 / $2,350.00	Facility		$109.00	$724.00	$2,350.00