Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $489.78	Professional		$194.98	$281.84	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $199.53	Professional	26	$54.95	$75.86	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $213.80 / $380.19	Professional	TC	$144.54	$213.80	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $724.44	Professional		$194.98	$288.40	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $199.53	Professional	26	$57.54	$83.18	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $199.53 / $478.63	Professional	TC	$138.04	$199.53	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $691.83	Professional		$234.42	$407.38	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $165.96	Professional	26	$63.10	$91.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $323.59 / $512.86	Professional	TC	$165.96	$323.59	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $562.34	Professional		$229.09	$295.12	$562.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $165.96	Professional	26	$69.18	$87.10	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $416.87	Professional	TC	$165.96	$218.78	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $741.31	Professional		$223.87	$354.81	$741.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $199.53	Professional	26	$61.66	$85.11	$199.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $257.04 / $588.84	Professional	TC	$162.18	$257.04	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $660.69	Professional		$218.78	$380.19	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $173.78	Professional	26	$67.61	$97.72	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $478.63	Professional	TC	$151.36	$275.42	$478.63