Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $4,871.99 / $9,539.00	Facility		$286.52	$4,871.99	$9,539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.42 / $227.42 / $227.42	Facility		$227.42	$227.42	$227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $216.61 / $283.52	Professional		$184.12	$216.61	$283.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $359.71 / $617.95	Facility		$216.61	$359.71	$617.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $447.89 / $614.15 / $1,435.50	Facility	50	$447.89	$614.15	$1,435.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.98 / $401.44 / $1,393.31	Facility		$234.98	$401.44	$1,393.31
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00