Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,630.78 / $9,549.93	Facility		$1,122.02	$3,630.78	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,174.90	Professional		$794.33	$954.99	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,089.30	Facility		$933.25	$1,412.54	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $7,413.10	Facility		$891.25	$1,318.26	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71