Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $4,032.00 / $8,920.00	Facility		$268.77	$4,032.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $260.58 / $321.38	Professional		$217.15	$260.58	$321.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.40 / $319.68 / $439.08	Facility		$241.40	$319.68	$439.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $63.03 / $69.37 / $91.87	Facility	80	$63.03	$69.37	$91.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $44.12 / $48.56 / $64.31	Facility	AS	$44.12	$48.56	$64.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $310.72 / $982.00	Facility		$240.50	$310.72	$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