Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.08	Professional		$2.29	$2.29	$3.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $3.70	Professional		$3.70	$3.70	$3.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.24 / $6.76	Facility		$4.00	$4.24	$6.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Facility		$100.00	$1,750.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Professional		$100.00	$1,750.00	$10,945.00