Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,467.37 / $7,244.36	Facility		$131.83	$3,467.37	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,659.59	Facility		$128.82	$128.82	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $208.93	Professional		$134.90	$177.83	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $245.47	Professional		$131.83	$131.83	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $218.78	Facility		$70.79	$128.82	$218.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $2,630.27	Facility		$72.44	$107.15	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71