Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.19 / $3,226.00 / $8,294.00	Facility		$184.19	$3,226.00	$8,294.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.75 / $851.70 / $1,060.70	Professional		$709.75	$851.70	$1,060.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.87 / $709.75 / $1,472.93	Facility		$181.87	$709.75	$1,472.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $398.97 / $600.27 / $2,377.66	Facility	50	$398.97	$600.27	$2,377.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.09 / $204.49 / $1,263.41	Facility		$147.09	$204.49	$1,263.41
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