Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.18 / $3,991.00 / $9,039.81	Facility		$381.18	$3,991.00	$9,039.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $466.00 / $978.75 / $16,444.00	Facility	50	$466.00	$978.75	$16,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.11 / $242.11 / $242.11	Facility		$242.11	$242.11	$242.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $242.61 / $288.83	Professional		$219.51	$242.61	$288.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.55 / $244.35 / $320.64	Facility		$195.55	$244.35	$320.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $301.07 / $423.06 / $423.06	Facility	50	$301.07	$423.06	$423.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $287.83 / $1,098.00	Facility		$216.50	$287.83	$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