Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $6,165.95 / $15,135.61	Facility		$281.84	$6,165.95	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $645.65	Professional		$208.93	$263.03	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $588.84	Professional		$389.05	$489.78	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $537.03	Facility		$218.78	$346.74	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $1,659.59	Facility		$239.88	$346.74	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71