Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $169.82	Facility		$23.99	$52.48	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $36.31	Professional		$21.38	$29.51	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $269.15	Professional		$213.80	$263.03	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $281.84	Facility		$25.70	$81.28	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $61.66 / $10,000.00	Facility		$31.62	$61.66	$10,000.00
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