Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $1,938.00 / $8,294.00	Facility		$82.33	$1,938.00	$8,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $150.00 / $218.91	Professional		$124.05	$150.00	$218.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $113.61 / $207.79	Facility		$67.03	$113.61	$207.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $71.11 / $126.48	Facility		$36.64	$71.11	$126.48