Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $95.25	Professional		$79.50	$79.50	$95.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $316.00	Professional		$240.00	$240.00	$316.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $127.50 / $127.50	Professional		$103.00	$127.50	$127.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $100.00 / $203.70	Facility		$67.50	$100.00	$203.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $100.00 / $203.70	Professional		$67.50	$100.00	$203.70