Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $77.56 / $77.56	Facility		$77.56	$77.56	$77.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $72.76 / $228.20	Professional		$52.92	$72.76	$228.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $75.38 / $121.11	Facility		$61.12	$75.38	$121.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $77.36 / $136.16	Facility		$43.43	$77.36	$136.16