Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.41 / $8,294.00 / $23,601.00	Facility		$237.41	$8,294.00	$23,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $265.22 / $1,700.00	Facility		$265.22	$265.22	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.02 / $26.02 / $26.02	Facility	AS	$26.02	$26.02	$26.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $276.50 / $326.77	Professional		$215.75	$276.50	$326.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $266.30 / $434.46	Facility		$212.73	$266.30	$434.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $362.30 / $526.86 / $1,008.65	Facility	50	$362.30	$526.86	$1,008.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $48.31 / $70.25 / $134.49	Facility	80	$48.31	$70.25	$134.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $33.81 / $49.17 / $94.14	Facility	AS	$33.81	$49.17	$94.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.69 / $265.35 / $819.00	Facility		$194.69	$265.35	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,148.00 / $2,375.00	Facility		$231.00	$1,148.00	$2,375.00