Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $59.04 / $1,206.04	Facility		$23.90	$59.04	$1,206.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Facility		$39.60	$39.60	$39.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.46 / $419.67 / $490.37	Professional		$364.46	$419.67	$490.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $60.38 / $407.68	Facility		$24.22	$60.38	$407.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $35.45 / $213.42	Facility		$23.66	$35.45	$213.42
United Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45