Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $4,192.10 / $22,178.99	Facility		$200.06	$4,192.10	$22,178.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.35 / $125.35 / $640.00	Facility		$125.35	$125.35	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $132.03 / $156.04	Professional		$102.60	$132.03	$156.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $149.88 / $231.64	Facility		$113.39	$149.88	$231.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $145.77 / $532.98	Facility		$102.86	$145.77	$532.98
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,148.00 / $2,375.00	Facility		$231.00	$1,148.00	$2,375.00