Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $145.06 / $176.15	Professional		$69.90	$145.06	$176.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $17.87 / $67.92	Professional	26	$13.38	$17.87	$67.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.37 / $129.36 / $158.74	Professional	TC	$55.37	$129.36	$158.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $126.08 / $183.76	Professional		$92.93	$126.08	$183.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $52.15 / $71.04	Professional	26	$43.99	$52.15	$71.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.33 / $70.34 / $97.28	Professional	TC	$50.33	$70.34	$97.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $185.36 / $481.09	Professional		$120.27	$185.36	$481.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $59.26 / $100.69	Professional	26	$17.78	$59.26	$100.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.20 / $98.68 / $464.18	Professional	TC	$64.20	$98.68	$464.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $136.87 / $256.81	Professional		$75.93	$136.87	$256.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $67.45 / $121.70	Professional	26	$56.06	$67.45	$121.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $62.24 / $74.56 / $143.56	Professional	TC	$62.24	$74.56	$143.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $156.85 / $194.42	Professional		$104.56	$156.85	$194.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $40.65 / $69.62	Professional	26	$15.71	$40.65	$69.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $58.15 / $94.75 / $158.74	Professional	TC	$58.15	$94.75	$158.74
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $131.49 / $253.28	Professional		$106.83	$131.49	$253.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $31.85 / $113.60	Professional	26	$24.68	$31.85	$113.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $96.85 / $149.18	Professional	TC	$59.91	$96.85	$149.18