Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $36.31	Facility		$28.18	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $38.02	Professional		$19.95	$28.18	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $32.36	Professional		$17.78	$24.55	$32.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $45.71	Facility		$21.38	$30.20	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $29.51 / $10,000.00	Facility		$21.38	$29.51	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $10,000.00	Professional		$21.38	$29.51	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $48.98	Professional		$20.42	$29.51	$48.98