Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $117.50 / $149.87	Professional		$84.01	$117.50	$149.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.69 / $93.21 / $126.49	Professional	TC	$65.69	$93.21	$126.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $181.39 / $270.23	Professional		$134.88	$181.39	$270.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.57 / $149.22 / $226.19	Professional	TC	$112.57	$149.22	$226.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $188.18 / $319.73	Professional		$116.09	$188.18	$319.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.07 / $157.69 / $269.12	Professional	TC	$88.07	$157.69	$269.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $206.84 / $373.14	Professional		$171.89	$206.84	$373.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $143.44 / $172.62 / $311.39	Professional	TC	$143.44	$172.62	$311.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $147.78 / $229.75	Professional		$84.68	$147.78	$229.75
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $120.56 / $189.81	Professional	TC	$67.09	$120.56	$189.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $171.89 / $290.70	Professional		$131.25	$171.89	$290.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.78 / $123.42 / $250.97	Professional	TC	$97.78	$123.42	$250.97