Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.11 / $3,633.00 / $10,769.00	Facility		$152.11	$3,633.00	$10,769.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.93 / $843.52 / $1,052.01	Professional		$702.93	$843.52	$1,052.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $702.93 / $1,399.84	Facility		$146.34	$702.93	$1,399.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.42 / $169.99 / $4,071.00	Facility		$121.42	$169.99	$4,071.00
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