Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $497.00 / $497.00	Professional		$496.00	$497.00	$497.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Facility		$100.00	$1,750.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Professional		$100.00	$1,750.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $5,040.00	Professional		$4,800.00	$4,800.00	$5,040.00