Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $4,771.00 / $10,767.00	Facility		$482.48	$4,771.00	$10,767.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.28 / $463.54 / $571.69	Professional		$386.28	$463.54	$571.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.47 / $550.62 / $788.20	Facility		$442.47	$550.62	$788.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $136.50 / $147.19 / $170.12	Facility	80	$136.50	$147.19	$170.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $437.43 / $577.71 / $1,380.00	Facility		$437.43	$577.71	$1,380.00
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