Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $75.86	Professional		$53.70	$60.26	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $102.33	Professional		$100.00	$102.33	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $112.20	Facility		$60.26	$77.62	$112.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $107.15	Facility		$63.10	$79.43	$107.15