Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.88 / $2,538.00 / $10,045.19	Facility		$857.88	$2,538.00	$10,045.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $470.38 / $1,200.00	Facility		$470.38	$470.38	$1,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	AS	$46.23	$46.23	$46.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.59 / $465.08 / $690.57	Professional		$381.59	$465.08	$690.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $411.87 / $522.48 / $771.14	Facility		$411.87	$522.48	$771.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $65.70 / $72.55 / $105.72	Facility	AS	$65.70	$72.55	$105.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $414.11 / $485.86 / $798.91	Facility		$414.11	$485.86	$798.91
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