Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.92 / $2,883.76 / $8,294.00	Facility		$231.92	$2,883.76	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $260.63 / $640.00	Facility		$260.63	$260.63	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $159.84	Facility	62	$159.84	$159.84	$159.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $25.58	Facility	AS	$25.58	$25.58	$25.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $272.64 / $314.41	Professional		$212.44	$272.64	$314.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $251.68 / $391.94	Facility		$203.09	$251.68	$391.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $58.87 / $60.95 / $132.04	Facility	80	$58.87	$60.95	$132.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $41.21 / $42.66 / $92.43	Facility	AS	$41.21	$42.66	$92.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $193.61 / $260.52 / $805.00	Facility		$193.61	$260.52	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00