Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $3,633.00 / $8,294.00	Facility		$149.63	$3,633.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.63 / $207.63 / $207.63	Facility		$207.63	$207.63	$207.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.09 / $620.51 / $760.43	Professional		$517.09	$620.51	$760.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.57 / $405.45 / $956.26	Facility		$145.57	$405.45	$956.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $179.13 / $299.57	Facility		$124.57	$179.13	$299.57
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