Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $92.56 / $92.56	Facility		$82.07	$92.56	$92.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $82.07 / $92.56	Professional		$71.76	$82.07	$92.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $101.54 / $138.22	Professional		$81.09	$101.54	$138.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $93.05 / $151.79	Facility		$75.56	$93.05	$151.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $142.05 / $208.99	Professional		$116.81	$142.05	$208.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $99.72 / $198.21	Facility		$85.51	$99.72	$198.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $99.72 / $210.54	Professional		$85.51	$99.72	$210.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $104.36 / $171.24	Professional		$70.84	$104.36	$171.24