Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $3,991.00 / $8,920.00	Facility		$146.33	$3,991.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $146.69 / $180.93	Professional		$122.25	$146.69	$180.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.43 / $172.94 / $263.47	Facility		$134.43	$172.94	$263.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $174.27 / $1,169.82	Facility		$133.03	$174.27	$1,169.82
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