Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $158.90 / $158.90	Facility		$67.81	$158.90	$158.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $122.37 / $159.27	Professional		$52.49	$122.37	$159.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $133.06 / $171.62	Professional		$65.38	$133.06	$171.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $133.38 / $195.01	Facility		$60.90	$133.38	$195.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $218.40 / $265.00	Professional		$165.53	$218.40	$265.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $153.36 / $327.08	Facility		$61.23	$153.36	$327.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $200.52 / $327.08	Professional		$143.22	$200.52	$327.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $186.51 / $278.70	Professional		$112.61	$186.51	$278.70