Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $14,791.08	Facility		$1,230.27	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $8,128.31 / $8,128.31	Professional		$812.83	$8,128.31	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,630.27 / $2,951.21	Facility		$524.81	$2,630.27	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,964.78 / $15,488.17	Facility		$8,128.31	$10,964.78	$15,488.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,479.11 / $10,964.78	Facility		$371.54	$1,479.11	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,479.11 / $10,964.78	Professional		$371.54	$1,479.11	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $13,803.84	Facility		$1,071.52	$6,025.60	$13,803.84