Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $106.73 / $117.41	Professional		$71.77	$106.73	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $75.59 / $86.27	Professional	TC	$47.56	$75.59	$86.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $122.88 / $170.40	Professional		$85.96	$122.88	$170.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.54 / $84.96 / $118.26	Professional	TC	$59.54	$84.96	$118.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $133.96 / $211.27	Professional		$106.53	$133.96	$211.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.86 / $86.80 / $146.66	Professional	TC	$60.86	$86.80	$146.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $130.94 / $236.23	Professional		$108.82	$130.94	$236.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $75.02 / $90.28 / $162.85	Professional	TC	$75.02	$90.28	$162.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $110.16 / $155.77	Professional		$94.44	$110.16	$155.77
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $65.91 / $77.54 / $113.87	Professional	TC	$65.91	$77.54	$113.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $138.51 / $245.66	Professional		$91.66	$138.51	$245.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $89.25 / $157.35	Professional	TC	$67.48	$89.25	$157.35