Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $3,991.00 / $8,920.00	Facility		$83.76	$3,991.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $84.56 / $104.30	Professional		$70.47	$84.56	$104.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $101.07 / $147.27	Facility		$80.43	$101.07	$147.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $101.96 / $805.00	Facility		$78.79	$101.96	$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