Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $338.84	Professional		$123.03	$154.88	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $87.10	Professional	26	$30.20	$40.74	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $257.04	Professional	TC	$93.33	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $281.84	Professional		$144.54	$208.93	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $67.61	Professional	26	$33.88	$51.29	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $158.49 / $213.80	Professional	TC	$109.65	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $79.43	Professional	26	$33.11	$50.12	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $154.88 / $257.04	Professional	TC	$95.50	$154.88	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $426.58	Professional		$177.83	$275.42	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $100.00	Professional	26	$41.69	$56.23	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $169.82 / $309.03	Professional	TC	$131.83	$169.82	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $389.05	Professional		$125.89	$186.21	$389.05
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $109.65	Professional	26	$32.36	$48.98	$109.65
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $316.23	Professional	TC	$97.72	$141.25	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $407.38	Professional		$134.90	$213.80	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $53.70 / $97.72	Professional	26	$35.48	$53.70	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $309.03	Professional	TC	$102.33	$162.18	$309.03