Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $4,796.00 / $9,918.00	Facility		$18.32	$4,796.00	$9,918.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.54 / $21.64	Professional		$14.62	$17.54	$21.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $22.17 / $32.29	Facility		$17.54	$22.17	$32.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $4.98 / $5.61 / $6.46	Facility	80	$4.98	$5.61	$6.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $3.49 / $3.92 / $4.51	Facility	AS	$3.49	$3.92	$4.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $21.36 / $1,169.82	Facility		$15.57	$21.36	$1,169.82
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