Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $4,100.33 / $8,294.00	Facility		$108.92	$4,100.33	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $98.68 / $98.68	Facility		$98.68	$98.68	$98.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $94.32 / $123.30	Professional		$80.17	$94.32	$123.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $108.92 / $158.24	Facility		$82.07	$108.92	$158.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.91 / $109.90 / $1,380.00	Facility		$79.91	$109.90	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00