Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.79 / $4,771.00 / $9,539.00	Facility		$391.79	$4,771.00	$9,539.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $373.19 / $460.27	Professional		$310.99	$373.19	$460.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.53 / $473.12 / $690.00	Facility		$385.53	$473.12	$690.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $467.94 / $1,380.00	Facility		$347.13	$467.94	$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