Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.09 / $214.78 / $1,665.00	Facility		$161.09	$214.78	$1,665.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $648.75 / $648.75 / $648.75	Facility	25	$648.75	$648.75	$648.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.08 / $238.08 / $238.08	Facility		$238.08	$238.08	$238.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $260.44 / $710.06	Professional		$175.09	$260.44	$710.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $270.00 / $393.83	Facility		$207.69	$270.00	$393.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $266.27 / $511.23	Facility		$205.11	$266.27	$511.23