Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.36 / $6,055.68 / $14,798.00	Facility		$284.36	$6,055.68	$14,798.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $282.14 / $347.98	Professional		$235.12	$282.14	$347.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $338.52 / $474.01	Facility		$231.28	$338.52	$474.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $67.70 / $83.94 / $102.55	Facility	80	$67.70	$83.94	$102.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $47.39 / $58.76 / $71.79	Facility	AS	$47.39	$58.76	$71.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $343.39 / $982.00	Facility		$269.52	$343.39	$982.00
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