Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.92 / $3,633.00 / $8,920.00	Facility		$71.92	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $91.81 / $113.23	Professional		$76.51	$91.81	$113.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.92 / $99.77 / $145.59	Facility		$71.92	$99.77	$145.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $86.91 / $819.00	Facility		$66.25	$86.91	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00