Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $5,048.00 / $11,555.00	Facility		$98.00	$5,048.00	$11,555.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $96.68 / $96.68	Facility		$96.68	$96.68	$96.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.47 / $9.47 / $9.47	Facility	AS	$9.47	$9.47	$9.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $101.84 / $118.63	Professional		$79.56	$101.84	$118.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $98.00 / $160.11	Facility		$71.28	$98.00	$160.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $11.17 / $15.72 / $25.43	Facility	AS	$11.17	$15.72	$25.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $107.23 / $415.99	Facility		$80.37	$107.23	$415.99
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