Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.80 / $366.66 / $18,492.00	Facility		$200.80	$366.66	$18,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $192.50 / $237.42	Professional		$160.41	$192.50	$237.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $236.46 / $326.24	Facility		$170.52	$236.46	$326.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $232.50 / $1,169.82	Facility		$175.31	$232.50	$1,169.82
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