Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,630.78 / $8,317.64	Facility		$114.82	$3,630.78	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $123.03	Professional		$83.18	$104.71	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $234.42	Professional		$154.88	$190.55	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $213.80	Facility		$95.50	$134.90	$213.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $1,288.25	Facility		$95.50	$134.90	$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