Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,071.52 / $4,786.30	Facility		$125.89	$1,071.52	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $3,981.07	Professional		$75.86	$77.62	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $407.38	Facility		$112.20	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $158.49	Professional		$125.89	$125.89	$158.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $10,964.78	Facility		$4,073.80	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $10,964.78	Professional		$4,073.80	$10,000.00	$10,964.78