Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $3,633.00 / $8,294.00	Facility		$88.33	$3,633.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Facility		$129.19	$129.19	$129.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $161.75 / $192.56	Professional		$144.11	$161.75	$192.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $127.95 / $211.97	Facility		$73.66	$127.95	$211.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.52 / $106.46 / $1,098.00	Facility		$76.52	$106.46	$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