Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $120.62 / $120.62	Facility		$107.41	$120.62	$120.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $107.41 / $120.62	Professional		$94.08	$107.41	$120.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $138.66 / $138.66	Facility		$138.66	$138.66	$138.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $133.26 / $181.85	Professional		$106.68	$133.26	$181.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $121.47 / $199.24	Facility		$98.46	$121.47	$199.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $185.76 / $273.67	Professional		$152.49	$185.76	$273.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $130.54 / $259.24	Facility		$112.29	$130.54	$259.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $130.54 / $275.17	Professional		$112.29	$130.54	$275.17
United Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $135.88 / $224.57	Professional		$92.50	$135.88	$224.57