Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.72 / $4,766.63 / $8,707.19	Facility		$118.72	$4,766.63	$8,707.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $117.56 / $117.56	Facility		$117.56	$117.56	$117.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $120.58 / $170.98	Professional		$96.46	$120.58	$170.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.54 / $138.47 / $201.30	Facility		$106.54	$138.47	$201.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $132.31 / $239.59	Facility		$104.69	$132.31	$239.59
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00