Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,187.76 / $13,803.84	Facility		$331.13	$2,187.76	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $407.38	Professional		$269.15	$346.74	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $758.58	Professional		$512.86	$645.65	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $691.83	Facility		$309.03	$436.52	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $10,000.00	Facility		$309.03	$436.52	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09