Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.46 / $4,175.59 / $8,294.00	Facility		$148.46	$4,175.59	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.99 / $610.00 / $1,727.00	Facility		$133.99	$610.00	$1,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $137.87 / $213.63	Professional		$111.02	$137.87	$213.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.71 / $164.60 / $227.16	Facility		$124.71	$164.60	$227.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $160.08 / $280.17	Facility		$125.03	$160.08	$280.17
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00