Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $199.95 / $199.95	Facility		$175.60	$199.95	$199.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $199.95 / $199.95	Professional		$175.60	$199.95	$199.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $245.66 / $261.12	Professional		$235.84	$245.66	$261.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $176.43 / $366.64	Facility		$163.22	$176.43	$366.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $286.08 / $9,929.00	Facility		$176.44	$286.08	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $286.08 / $9,929.00	Professional		$176.44	$286.08	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $242.40 / $408.73	Professional		$146.02	$242.40	$408.73