Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.86 / $114.85 / $114.85	Facility		$111.86	$114.85	$114.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $119.39	Facility		$119.39	$119.39	$119.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $132.60 / $341.79	Professional		$89.14	$132.60	$341.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $114.85 / $187.61	Facility		$87.57	$114.85	$187.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $126.77 / $295.68	Facility		$94.26	$126.77	$295.68