Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.57 / $3,991.00 / $8,920.00	Facility		$165.57	$3,991.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $169.76 / $640.00	Facility		$169.76	$169.76	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $177.93 / $208.52	Professional		$140.88	$177.93	$208.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.04 / $185.72 / $279.22	Facility		$141.04	$185.72	$279.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $197.29 / $703.90	Facility		$146.75	$197.29	$703.90
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