Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.49 / $3,633.00 / $8,920.00	Facility		$424.49	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $406.82 / $501.75	Professional		$339.02	$406.82	$501.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.31 / $509.33 / $717.39	Facility		$388.31	$509.33	$717.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $115.91 / $129.33 / $150.47	Facility	80	$115.91	$129.33	$150.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.14 / $90.53 / $105.33	Facility	AS	$81.14	$90.53	$105.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $383.03 / $504.76 / $1,380.00	Facility		$383.03	$504.76	$1,380.00
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