Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $4,771.00 / $9,539.00	Facility		$1,165.18	$4,771.00	$9,539.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.67 / $1,005.20 / $1,239.75	Professional		$837.67	$1,005.20	$1,239.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $990.40 / $1,309.74 / $1,903.47	Facility		$990.40	$1,309.74	$1,903.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $317.18 / $320.54 / $412.33	Facility	80	$317.18	$320.54	$412.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $222.02 / $224.38 / $288.63	Facility	AS	$222.02	$224.38	$288.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $885.41 / $1,296.84 / $2,322.21	Facility		$885.41	$1,296.84	$2,322.21
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