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 $1,459.18 / $1,856.88 / $2,554.62	Professional		$1,459.18	$1,856.88	$2,554.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.21 / $1,127.21 / $1,127.21	Professional		$1,127.21	$1,127.21	$1,127.21
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 $1,354.58 / $1,394.00 / $1,433.00	Professional		$1,354.58	$1,394.00	$1,433.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Facility		$1,227.00	$3,658.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Professional		$1,227.00	$3,658.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00