Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,630.27 / $8,128.31	Facility		$229.09	$2,630.27	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $281.84	Professional		$190.55	$229.09	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $398.11	Facility		$181.97	$245.47	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $1,288.25	Facility		$194.98	$257.04	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71