Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.04 / $3,633.00 / $8,920.00	Facility		$184.04	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $183.26 / $220.01	Professional		$152.72	$183.26	$220.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.31 / $221.94 / $300.66	Facility		$164.31	$221.94	$300.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $220.35 / $805.00	Facility		$170.71	$220.35	$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