Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.13 / $4,771.00 / $9,539.00	Facility		$362.13	$4,771.00	$9,539.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $345.37 / $425.96	Professional		$287.81	$345.37	$425.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.96 / $443.12 / $650.08	Facility		$358.96	$443.12	$650.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $437.76 / $1,380.00	Facility		$322.70	$437.76	$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