Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $5,048.00 / $10,767.00	Facility		$1,875.00	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.98 / $2,256.21 / $3,104.00	Professional		$1,772.98	$2,256.21	$3,104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.06 / $1,288.06 / $1,288.06	Professional		$1,288.06	$1,288.06	$1,288.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,987.50 / $3,168.75	Facility		$1,875.00	$1,987.50	$3,168.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,547.87 / $1,593.00 / $1,637.00	Professional		$1,547.87	$1,593.00	$1,637.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,366.79 / $3,658.00 / $9,929.00	Facility		$1,366.79	$3,658.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,366.79 / $3,658.00 / $9,929.00	Professional		$1,366.79	$3,658.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00