Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $1,938.00 / $8,294.00	Facility		$42.81	$1,938.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $61.55	Facility		$61.55	$61.55	$61.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $159.38 / $195.33	Professional		$132.82	$159.38	$195.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $130.76 / $244.00	Facility		$41.84	$130.76	$244.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $53.72 / $162.51	Facility		$37.43	$53.72	$162.51
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00