Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.33 / $3,226.00 / $8,294.00	Facility		$362.33	$3,226.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.38 / $365.38 / $1,700.00	Facility		$365.38	$365.38	$1,700.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $384.22 / $454.08	Professional		$298.14	$384.22	$454.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $326.63 / $428.26 / $658.68	Facility		$326.63	$428.26	$658.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.35 / $66.64 / $129.19	Facility	AS	$56.35	$66.64	$129.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $313.51 / $423.65 / $819.00	Facility		$313.51	$423.65	$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