Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $212.02 / $212.02	Facility		$212.02	$212.02	$212.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $229.50 / $743.22	Professional		$172.61	$229.50	$743.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $222.61 / $356.98	Facility		$160.38	$222.61	$356.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $250.18 / $432.81	Facility		$196.78	$250.18	$432.81