Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.49 / $3,633.00 / $8,920.00	Facility		$93.49	$3,633.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Facility		$92.10	$92.10	$92.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $93.47 / $111.82	Professional		$76.03	$93.47	$111.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $118.99 / $552.75	Facility		$81.86	$118.99	$552.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $115.07 / $273.27 / $2,203.50	Facility	50	$115.07	$273.27	$2,203.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.14 / $112.28 / $288.83	Facility		$82.14	$112.28	$288.83
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