Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $2,630.27 / $8,317.64	Facility		$72.44	$2,630.27	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $562.34 / $1,479.11	Professional		$52.48	$562.34	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $446.68 / $977.24	Facility		$61.66	$446.68	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $1,659.59	Facility		$60.26	$87.10	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71