Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $3,988.00 / $8,294.00	Facility		$194.05	$3,988.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $215.27 / $256.27	Professional		$191.19	$215.27	$256.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $174.92 / $277.83	Facility		$107.53	$174.92	$277.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $150.47 / $1,098.00	Facility		$113.09	$150.47	$1,098.00
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