Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $5,495.41 / $10,000.00	Facility		$263.03	$5,495.41	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $144.54	Professional		$93.33	$109.65	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $1,148.15	Professional		$323.59	$389.05	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $562.34	Facility		$147.91	$323.59	$562.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $371.54 / $5,011.87	Facility		$181.97	$371.54	$5,011.87
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