Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $245.47 / $354.81	Facility		$30.20	$245.47	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $251.19	Professional		$125.89	$190.55	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $4,786.30	Facility		$2,041.74	$2,511.89	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $64.57 / $102.33	Facility		$23.44	$64.57	$102.33