Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $309.03	Professional		$107.15	$162.18	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $147.91	Professional	26	$45.71	$64.57	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $77.62 / $234.42	Professional	TC	$53.70	$77.62	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $239.88	Professional		$123.03	$162.18	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $125.89	Professional	26	$64.57	$85.11	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $75.86 / $114.82	Professional	TC	$58.88	$75.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $588.84	Professional		$151.36	$245.47	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $162.18	Professional	26	$54.95	$89.13	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $120.23 / $524.81	Professional	TC	$58.88	$120.23	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $354.81	Professional		$131.83	$190.55	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $186.21	Professional	26	$79.43	$100.00	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $177.83	Professional	TC	$72.44	$93.33	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $436.52	Professional		$117.49	$186.21	$436.52
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $169.82	Professional	26	$51.29	$79.43	$169.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $93.33 / $288.40	Professional	TC	$61.66	$93.33	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $380.19	Professional		$141.25	$194.98	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $158.49	Professional	26	$69.18	$85.11	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $109.65 / $199.53	Professional	TC	$69.18	$109.65	$199.53