Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.29 / $446.29 / $446.29	Facility		$446.29	$446.29	$446.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.29 / $446.29 / $503.29	Professional		$446.29	$446.29	$503.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $397.80	Professional		$331.50	$390.00	$397.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,690.00 / $2,952.00 / $2,952.00	Professional		$2,690.00	$2,952.00	$2,952.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.29 / $503.29 / $533.49	Facility		$446.29	$503.29	$533.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $537.00 / $644.40	Facility		$417.00	$537.00	$644.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $537.00 / $644.40	Professional		$417.00	$537.00	$644.40