Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,786.30 / $9,772.37	Facility		$478.63	$4,786.30	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $338.84	Professional		$213.80	$251.19	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $1,202.26	Professional		$389.05	$467.74	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $660.69	Facility		$269.15	$398.11	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $4,073.80	Facility		$269.15	$436.52	$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