Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.09 / $4,893.28 / $8,920.00	Facility		$407.09	$4,893.28	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $269.81 / $332.76	Professional		$224.84	$269.81	$332.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.20 / $326.47 / $475.44	Facility		$246.20	$326.47	$475.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $61.47 / $84.53 / $97.14	Facility	80	$61.47	$84.53	$97.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $43.03 / $59.17 / $68.00	Facility	AS	$43.03	$59.17	$68.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $321.54 / $982.00	Facility		$237.60	$321.54	$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