Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.16 / $3,633.00 / $8,003.00	Facility		$282.16	$3,633.00	$8,003.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $178.22 / $219.81	Professional		$148.52	$178.22	$219.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $215.55 / $309.89	Facility		$163.50	$215.55	$309.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $211.52 / $805.00	Facility		$162.66	$211.52	$805.00
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