Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.86 / $3,633.00 / $8,920.00	Facility		$263.86	$3,633.00	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $256.93 / $316.88	Professional		$214.11	$256.93	$316.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.81 / $315.13 / $431.05	Facility		$235.81	$315.13	$431.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $63.03 / $69.37 / $90.93	Facility	80	$63.03	$69.37	$90.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $44.12 / $48.56 / $63.65	Facility	AS	$44.12	$48.56	$63.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $313.77 / $982.00	Facility		$244.09	$313.77	$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