Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.23 / $258.44 / $568.52	Facility		$206.23	$258.44	$568.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.88 / $253.88 / $253.88	Facility		$253.88	$253.88	$253.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $252.41 / $311.30	Professional		$198.79	$252.41	$311.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $281.70 / $436.76	Facility		$213.70	$281.70	$436.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $235.82 / $301.77 / $503.21	Facility		$235.82	$301.77	$503.21