Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.49 / $3,633.00 / $8,920.00	Facility		$134.49	$3,633.00	$8,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $460.00 / $802.00	Facility		$134.12	$460.00	$802.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $132.53 / $197.24	Professional		$109.69	$132.53	$197.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $156.05 / $223.61	Facility		$123.68	$156.05	$223.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $149.03 / $276.08	Facility		$120.41	$149.03	$276.08
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,774.00 / $5,226.00	Facility		$490.00	$2,774.00	$5,226.00