Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $5,328.00 / $9,539.00	Facility		$232.12	$5,328.00	$9,539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.88 / $208.88 / $208.88	Facility		$208.88	$208.88	$208.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $198.92 / $260.54	Professional		$169.08	$198.92	$260.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.08 / $194.15 / $331.10	Facility		$148.08	$194.15	$331.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $277.73 / $496.65 / $726.00	Facility	50	$277.73	$496.65	$726.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.12 / $195.67 / $1,380.00	Facility		$137.12	$195.67	$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