Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $3,633.00 / $8,294.00	Facility		$95.53	$3,633.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $96.07 / $640.00	Facility		$96.07	$96.07	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $99.01 / $116.46	Professional		$78.69	$99.01	$116.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $106.83 / $159.71	Facility		$81.20	$106.83	$159.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $113.65 / $406.12	Facility		$84.09	$113.65	$406.12
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00