Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.93 / $3,633.00 / $8,920.00	Facility		$141.93	$3,633.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $640.00	Facility		$134.09	$134.09	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $136.59 / $161.41	Professional		$110.82	$136.59	$161.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $168.83 / $231.87	Facility		$123.21	$168.83	$231.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $179.06 / $599.63	Facility		$125.59	$179.06	$599.63
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