Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $3,633.00 / $8,920.00	Facility		$158.91	$3,633.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.52 / $161.52 / $640.00	Facility		$161.52	$161.52	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $169.09 / $198.29	Professional		$133.97	$169.09	$198.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.08 / $179.15 / $269.14	Facility		$135.08	$179.15	$269.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $189.35 / $675.58	Facility		$140.90	$189.35	$675.58
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