Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $5,360.00 / $9,975.00	Facility		$260.74	$5,360.00	$9,975.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $169.39 / $169.39	Facility		$169.39	$169.39	$169.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $132.77 / $173.37	Professional		$112.85	$132.77	$173.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $331.38 / $559.44	Facility		$132.77	$331.38	$559.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $361.04 / $1,380.00	Facility		$199.98	$361.04	$1,380.00
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