Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $107.15	Facility		$97.72	$97.72	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $204.17	Professional		$69.18	$95.50	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $109.65 / $177.83	Facility		$79.43	$109.65	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $416.87	Facility		$69.18	$117.49	$416.87