Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $3,894.35 / $8,920.00	Facility		$247.91	$3,894.35	$8,920.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $240.24 / $296.30	Professional		$200.20	$240.24	$296.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.52 / $292.98 / $424.03	Facility		$223.52	$292.98	$424.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $53.50 / $62.95 / $138.80	Facility	80	$53.50	$62.95	$138.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $37.45 / $44.07 / $97.16	Facility	AS	$37.45	$44.07	$97.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.78 / $284.62 / $923.66	Facility		$214.78	$284.62	$923.66
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