Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.26 / $3,633.00 / $8,920.00	Facility		$207.26	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $202.07 / $249.22	Professional		$168.39	$202.07	$249.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $250.89 / $369.35	Facility		$191.60	$250.89	$369.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $243.93 / $1,169.82	Facility		$175.72	$243.93	$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