Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.82 / $3,226.00 / $8,294.00	Facility		$206.82	$3,226.00	$8,294.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.38 / $914.86 / $1,137.08	Professional		$762.38	$914.86	$1,137.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.30 / $762.38 / $1,596.28	Facility		$204.30	$762.38	$1,596.28
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $451.87 / $701.39 / $2,580.21	Facility	50	$451.87	$701.39	$2,580.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.07 / $235.82 / $1,263.41	Facility		$171.07	$235.82	$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