Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $145.97 / $221.87	Professional		$113.09	$145.97	$221.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $46.88 / $69.17	Professional	26	$42.14	$46.88	$69.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $103.82 / $152.69	Professional	TC	$63.46	$103.82	$152.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $170.43 / $275.06	Professional		$128.74	$170.43	$275.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.86 / $61.66 / $92.61	Professional	26	$44.86	$61.66	$92.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.39 / $110.76 / $182.45	Professional	TC	$85.39	$110.76	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $231.67 / $369.19	Professional		$174.27	$231.67	$369.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $73.29 / $101.80	Professional	26	$46.59	$73.29	$101.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.25 / $157.33 / $251.28	Professional	TC	$115.25	$157.33	$251.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $192.48 / $356.14	Professional		$164.06	$192.48	$356.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $66.47 / $119.89	Professional	26	$55.23	$66.47	$119.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.82 / $130.94 / $236.23	Professional	TC	$108.82	$130.94	$236.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $170.33 / $251.95	Professional		$145.37	$170.33	$251.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $55.21 / $79.39	Professional	26	$42.14	$55.21	$79.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $90.17 / $117.54 / $165.99	Professional	TC	$90.17	$117.54	$165.99
United Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $207.24 / $341.27	Professional		$146.37	$207.24	$341.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $70.04 / $113.92	Professional	26	$49.44	$70.04	$113.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.58 / $131.96 / $242.80	Professional	TC	$88.58	$131.96	$242.80