Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $124.76 / $180.35	Professional		$70.80	$124.76	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.19 / $88.89 / $118.51	Professional	TC	$39.19	$88.89	$118.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $143.94 / $207.92	Professional		$104.90	$143.94	$207.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.31 / $87.57 / $132.88	Professional	TC	$66.31	$87.57	$132.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $175.62 / $265.86	Professional		$132.51	$175.62	$265.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.43 / $120.22 / $184.49	Professional	TC	$73.43	$120.22	$184.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $160.71 / $289.91	Professional		$133.55	$160.71	$289.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $84.50 / $101.69 / $194.90	Professional	TC	$84.50	$101.69	$194.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $124.76 / $180.35	Professional		$71.25	$124.76	$180.35
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $49.52 / $88.89 / $118.51	Professional	TC	$49.52	$88.89	$118.51
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $139.15 / $259.13	Professional		$104.66	$139.15	$259.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.68 / $75.36 / $146.41	Professional	TC	$59.68	$75.36	$146.41