Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $134.90	Professional		$72.44	$93.33	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $91.20	Professional	TC	$46.77	$64.57	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $169.82	Professional		$79.43	$114.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $79.43 / $117.49	Professional	TC	$52.48	$79.43	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $223.87	Professional		$89.13	$123.03	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $85.11 / $158.49	Professional	TC	$54.95	$85.11	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $245.47	Professional		$102.33	$131.83	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $89.13 / $177.83	Professional	TC	$70.79	$89.13	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $269.15	Professional		$75.86	$109.65	$269.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $208.93	Professional	TC	$51.29	$75.86	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $245.47	Professional		$91.20	$128.82	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $165.96	Professional	TC	$61.66	$85.11	$165.96