Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $1,659.59	Facility		$263.03	$549.54	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $758.58	Facility		$223.87	$467.74	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $446.68 / $549.54	Professional		$165.96	$446.68	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $616.60	Professional		$263.03	$436.52	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $346.74 / $588.84	Facility		$190.55	$346.74	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $7,413.10	Facility		$173.78	$251.19	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71