Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $1,938.00 / $6,827.70	Facility		$109.94	$1,938.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.39 / $161.12 / $739.40	Facility	52	$54.39	$161.12	$739.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.19 / $1,157.08 / $1,446.35	Professional		$962.19	$1,157.08	$1,446.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $1,157.08 / $2,057.10	Facility		$109.94	$1,157.08	$2,057.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.50 / $131.63 / $1,098.00	Facility		$99.50	$131.63	$1,098.00
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