Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $113.52 / $251.62	Facility		$93.48	$113.52	$251.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $110.06 / $135.75	Professional		$91.72	$110.06	$135.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $134.47 / $185.45	Facility		$93.48	$134.47	$185.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $129.27 / $3,658.00	Facility		$96.68	$129.27	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00