Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $74.09 / $135.71	Professional		$61.64	$74.09	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $17.34 / $26.57	Professional	26	$13.26	$17.34	$26.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $51.91 / $109.00	Professional	TC	$40.67	$51.91	$109.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $104.77 / $151.32	Professional		$77.63	$104.77	$151.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $23.29 / $32.43	Professional	26	$16.50	$23.29	$32.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.13 / $80.58 / $118.90	Professional	TC	$61.13	$80.58	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $109.58 / $185.18	Professional		$77.94	$109.58	$185.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $27.37 / $40.10	Professional	26	$18.94	$27.37	$40.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.32 / $82.17 / $145.08	Professional	TC	$59.32	$82.17	$145.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $119.04 / $214.76	Professional		$98.93	$119.04	$214.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $25.30 / $45.63	Professional	26	$21.02	$25.30	$45.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $77.91 / $93.74 / $169.13	Professional	TC	$77.91	$93.74	$169.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $89.07 / $144.86	Professional		$61.64	$89.07	$144.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $19.14 / $37.75	Professional	26	$15.61	$19.14	$37.75
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $68.31 / $118.29	Professional	TC	$46.00	$68.31	$118.29
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $95.64 / $185.41	Professional		$73.45	$95.64	$185.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $25.03 / $43.21	Professional	26	$18.77	$25.03	$43.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.42 / $70.78 / $151.86	Professional	TC	$55.42	$70.78	$151.86