Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,630.78 / $10,471.29	Facility		$95.50	$3,630.78	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $524.81	Facility		$489.78	$524.81	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $141.25	Professional		$70.79	$85.11	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $190.55	Professional		$120.23	$125.89	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $177.83	Facility		$81.28	$112.20	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $363.08	Facility		$81.28	$104.71	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $812.83 / $2,398.83	Facility		$109.65	$812.83	$2,398.83