Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $234.42	Professional		$69.18	$112.20	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $43.65 / $109.65	Professional	26	$15.14	$43.65	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $64.57 / $173.78	Professional	TC	$44.67	$64.57	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $181.97	Professional		$89.13	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $74.13	Professional	26	$40.74	$56.23	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $64.57 / $97.72	Professional	TC	$50.12	$64.57	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $549.54	Professional		$117.49	$190.55	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $41.69 / $102.33	Professional	26	$17.78	$41.69	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $107.15 / $524.81	Professional	TC	$50.12	$107.15	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $275.42	Professional		$104.71	$144.54	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.18 / $134.90	Professional	26	$53.70	$69.18	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $151.36	Professional	TC	$61.66	$77.62	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $354.81	Professional		$89.13	$144.54	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $52.48 / $109.65	Professional	26	$16.60	$52.48	$109.65
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $81.28 / $263.03	Professional	TC	$51.29	$81.28	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $275.42	Professional		$107.15	$134.90	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $53.70 / $97.72	Professional	26	$23.99	$53.70	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $93.33 / $169.82	Professional	TC	$60.26	$93.33	$169.82