Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.12 / $6,242.38 / $9,981.60	Facility		$805.12	$6,242.38	$9,981.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.76 / $440.76 / $1,200.00	Facility		$440.76	$440.76	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.36 / $43.36 / $43.36	Facility	AS	$43.36	$43.36	$43.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.65 / $435.82 / $645.95	Professional		$357.65	$435.82	$645.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.42 / $491.27 / $723.71	Facility		$385.42	$491.27	$723.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $92.61 / $98.96 / $141.59	Facility	80	$92.61	$98.96	$141.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $67.84 / $99.11	Facility	AS	$61.58	$67.84	$99.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $385.66 / $453.72 / $748.84	Facility		$385.66	$453.72	$748.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $2,253.00 / $20,366.00	Facility		$1,657.00	$2,253.00	$20,366.00