Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $4,771.00 / $9,539.00	Facility		$224.51	$4,771.00	$9,539.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $215.08 / $265.26	Professional		$179.23	$215.08	$265.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.81 / $273.68 / $395.41	Facility		$223.81	$273.68	$395.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $274.18 / $1,169.82	Facility		$201.56	$274.18	$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