Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.33 / $4,032.00 / $14,796.00	Facility		$327.33	$4,032.00	$14,796.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $610.00 / $1,727.00	Facility		$214.31	$610.00	$1,727.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $217.69 / $311.88	Professional		$174.15	$217.69	$311.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.05 / $247.99 / $353.03	Facility		$195.05	$247.99	$353.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $31.88 / $36.29 / $53.61	Facility	AS	$31.88	$36.29	$53.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $235.73 / $438.75	Facility		$190.76	$235.73	$438.75
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00