Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.99 / $999.60 / $6,827.70	Facility		$114.99	$999.60	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.64 / $69.20 / $107.13	Facility	52	$37.64	$69.20	$107.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $136.18 / $164.29	Professional		$92.00	$136.18	$164.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $137.58 / $219.79	Facility		$76.23	$137.58	$219.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $92.81 / $805.00	Facility		$69.48	$92.81	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00