Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $3,311.31	Facility		$1,258.93	$1,380.38	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,258.93	Professional		$1,174.90	$1,258.93	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $4,466.84	Facility		$1,318.26	$2,630.27	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,479.11	Professional		$1,230.27	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,258.93 / $1,479.11	Facility		$52.48	$1,258.93	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,778.28	Professional		$1,258.93	$1,258.93	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Facility		$1,202.26	$1,202.26	$1,318.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $512.86 / $1,202.26	Facility		$1.26	$512.86	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,584.89	Professional		$977.24	$1,288.25	$1,584.89