Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $3,000.17 / $8,294.00	Facility		$153.19	$3,000.17	$8,294.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $214.07 / $259.66	Professional		$145.41	$214.07	$259.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $202.71 / $302.20	Facility		$148.41	$202.71	$302.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $188.00 / $819.00	Facility		$143.94	$188.00	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $828.00 / $2,364.00	Facility		$217.00	$828.00	$2,364.00