Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $10,000.00	Facility		$1,548.82	$3,235.94	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,202.26	Facility		$616.60	$616.60	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $724.44	Professional		$371.54	$446.68	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $691.83	Professional		$549.54	$588.84	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $831.76	Facility		$407.38	$549.54	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $794.33	Facility		$416.87	$489.78	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,943.28 / $28,840.32	Facility		$1,659.59	$7,943.28	$28,840.32