Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.12 / $3,633.00 / $8,920.00	Facility		$306.12	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $293.82 / $362.38	Professional		$244.85	$293.82	$362.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.31 / $363.13 / $517.34	Facility		$280.31	$363.13	$517.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $58.48 / $65.50 / $75.93	Facility	AS	$58.48	$65.50	$75.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $364.01 / $1,278.59	Facility		$276.95	$364.01	$1,278.59
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