Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $5.37	Professional		$4.00	$4.00	$5.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $55.00	Professional		$50.00	$50.00	$55.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $21.20 / $36.60	Facility		$20.00	$21.20	$36.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Professional		$5.95	$5.95	$5.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $49.98 / $9,929.00	Facility		$49.21	$49.98	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $49.98 / $9,929.00	Professional		$49.21	$49.98	$9,929.00