Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $4,897.79 / $8,912.51	Facility		$158.49	$4,897.79	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $162.18	Professional		$109.65	$138.04	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $323.59	Professional		$208.93	$263.03	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $288.40	Facility		$131.83	$186.21	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $1,288.25	Facility		$128.82	$186.21	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71