Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.82 / $3,645.00 / $8,294.00	Facility		$201.82	$3,645.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.87 / $200.87 / $200.87	Facility		$200.87	$200.87	$200.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $215.93 / $255.19	Professional		$168.13	$215.93	$255.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.08 / $236.71 / $369.33	Facility		$181.08	$236.71	$369.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.04 / $227.66 / $805.00	Facility		$167.04	$227.66	$805.00
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