Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $68.34 / $77.64	Professional		$49.81	$68.34	$77.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.28 / $25.20	Professional	26	$17.30	$21.28	$25.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.50 / $46.44 / $54.60	Professional	TC	$32.50	$46.44	$54.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $89.07 / $124.62	Professional		$63.40	$89.07	$124.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.67 / $28.32 / $39.42	Professional	26	$20.67	$28.32	$39.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.34 / $60.76 / $85.21	Professional	TC	$43.34	$60.76	$85.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $94.28 / $147.91	Professional		$68.72	$94.28	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $33.13 / $48.54	Professional	26	$21.95	$33.13	$48.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.67 / $61.56 / $100.29	Professional	TC	$42.67	$61.56	$100.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $97.22 / $175.38	Professional		$80.79	$97.22	$175.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.56 / $30.76 / $55.49	Professional	26	$25.56	$30.76	$55.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $55.23 / $66.47 / $119.89	Professional	TC	$55.23	$66.47	$119.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $72.47 / $115.81	Professional		$63.02	$72.47	$115.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $22.52 / $33.82	Professional	26	$19.57	$22.52	$33.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $49.94 / $84.04	Professional	TC	$43.42	$49.94	$84.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $96.67 / $159.29	Professional		$64.23	$96.67	$159.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $32.47 / $56.03	Professional	26	$22.74	$32.47	$56.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $58.62 / $119.89	Professional	TC	$41.50	$58.62	$119.89