Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $110.94 / $1,594.21	Facility		$90.27	$110.94	$1,594.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $109.60 / $135.16	Professional		$91.33	$109.60	$135.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.33 / $128.62 / $181.23	Facility		$91.33	$128.62	$181.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $135.41 / $1,098.00	Facility		$101.30	$135.41	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00