Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.07 / $5,360.00 / $9,975.00	Facility		$264.07	$5,360.00	$9,975.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $171.88 / $171.88	Facility		$171.88	$171.88	$171.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $134.96 / $175.68	Professional		$114.72	$134.96	$175.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.96 / $335.62 / $568.22	Facility		$134.96	$335.62	$568.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $405.99 / $565.37 / $1,494.00	Facility	50	$405.99	$565.37	$1,494.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $206.18 / $368.46 / $1,380.00	Facility		$206.18	$368.46	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00