Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.05 / $3,226.00 / $8,294.00	Facility		$49.05	$3,226.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.73 / $341.76 / $401.92	Professional		$298.73	$341.76	$401.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $270.42 / $617.60	Facility		$41.19	$270.42	$617.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $59.89 / $1,169.82	Facility		$43.54	$59.89	$1,169.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00