Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $1,938.00 / $8,294.00	Facility		$124.50	$1,938.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Facility		$112.70	$112.70	$112.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $213.90 / $263.02	Professional		$178.25	$213.90	$263.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $179.95 / $379.54	Facility		$73.66	$179.95	$379.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $94.31 / $214.57	Facility		$69.78	$94.31	$214.57
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00