Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.15	Professional		$5.00	$5.00	$5.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Professional		$14.33	$14.33	$14.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $22.55 / $22.55	Facility		$1.19	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $22.55	Professional		$19.17	$19.17	$22.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $7.62	Facility		$5.00	$5.00	$7.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $9,929.00 / $10,945.00	Facility		$1,291.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,291.00 / $9,929.00 / $10,945.00	Professional		$1,291.00	$9,929.00	$10,945.00