Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $115.92 / $172.70	Facility		$30.00	$115.92	$172.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $71.00 / $90.00	Professional		$19.97	$71.00	$90.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $64.00 / $93.44	Facility		$23.57	$64.00	$93.44