Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.28 / $0.44	Professional		$0.02	$0.28	$0.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $64.00	Facility		$0.23	$0.23	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $6.00	Professional		$5.00	$5.00	$6.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.86 / $3.20	Facility		$1.75	$1.86	$3.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $2.00 / $2,484.00	Facility		$1.20	$2.00	$2,484.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.00 / $2,484.00	Professional		$1.20	$2.00	$2,484.00