Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $5,623.41	Facility		$3,630.78	$4,073.80	$5,623.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $5,623.41	Professional		$3,630.78	$4,073.80	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89