Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $2,045.99 / $8,294.00	Facility		$195.16	$2,045.99	$8,294.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $219.40 / $265.91	Professional		$148.91	$219.40	$265.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $207.25 / $311.68	Facility		$153.21	$207.25	$311.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $195.64 / $819.00	Facility		$148.38	$195.64	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00