Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $3,991.00 / $8,920.00	Facility		$136.27	$3,991.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $640.00	Facility		$140.44	$140.44	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $147.07 / $172.27	Professional		$116.40	$147.07	$172.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $154.96 / $232.15	Facility		$117.32	$154.96	$232.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $162.36 / $579.29	Facility		$122.47	$162.36	$579.29
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