Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $3,235.94 / $8,317.64	Facility		$107.15	$3,235.94	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $102.33	Professional		$64.57	$75.86	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $147.91	Professional		$117.49	$144.54	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $165.96	Facility		$77.62	$107.15	$165.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $4,073.80	Facility		$79.43	$114.82	$4,073.80
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