Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $205.72 / $468.20	Facility		$11.11	$205.72	$468.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $176.00 / $231.00 / $471.10	Facility	25	$176.00	$231.00	$471.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $275.00 / $1,200.00	Facility		$13.19	$275.00	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $14.03 / $75.56	Professional		$10.55	$14.03	$75.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $27.75 / $51.89	Facility		$14.46	$27.75	$51.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $25.88 / $44.60	Facility		$15.37	$25.88	$44.60