Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $4.37	Professional		$2.57	$2.57	$4.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $104.71	Professional		$43.65	$69.18	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $27.54	Professional		$21.88	$21.88	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $29.51	Professional		$5.13	$5.13	$29.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7,413.10 / $10,964.78	Facility		$5.25	$7,413.10	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7,413.10 / $10,964.78	Professional		$5.25	$7,413.10	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02