Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $213.80	Professional		$83.18	$144.54	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $117.49 / $177.83	Professional	TC	$67.61	$117.49	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $251.19	Professional		$100.00	$181.97	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $144.54 / $204.17	Professional	TC	$77.62	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $316.23	Professional		$107.15	$181.97	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $263.03	Professional	TC	$83.18	$151.36	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $416.87	Professional		$173.78	$218.78	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $186.21 / $346.74	Professional	TC	$147.91	$186.21	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $398.11	Professional		$97.72	$147.91	$398.11
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $120.23 / $331.13	Professional	TC	$77.62	$120.23	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $338.84	Professional		$120.23	$177.83	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $144.54 / $269.15	Professional	TC	$97.72	$144.54	$269.15