Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.11 / $3,633.00 / $8,920.00	Facility		$217.11	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $208.10 / $256.66	Professional		$173.42	$208.10	$256.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $252.14 / $354.69	Facility		$193.80	$252.14	$354.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.07 / $251.07 / $819.00	Facility		$185.07	$251.07	$819.00
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