Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,630.78 / $8,317.64	Facility		$269.15	$3,630.78	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $288.40	Professional		$194.98	$245.47	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $549.54	Professional		$363.08	$457.09	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $501.19	Facility		$223.87	$323.59	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $1,288.25	Facility		$223.87	$323.59	$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