Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $6.31	Professional		$3.72	$3.72	$6.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $109.65	Professional		$45.71	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $8.13	Professional		$6.61	$6.61	$8.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $4,073.80 / $10,964.78	Facility		$6.61	$4,073.80	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $4,073.80 / $10,964.78	Professional		$6.61	$4,073.80	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59