Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $92.58 / $184.58	Professional		$75.76	$92.58	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $12.29 / $17.96	Professional	26	$11.17	$12.29	$17.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $80.22 / $166.62	Professional	TC	$63.46	$80.22	$166.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $131.16 / $207.33	Professional		$97.04	$131.16	$207.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.75 / $24.19	Professional	26	$11.32	$15.75	$24.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.72 / $111.37 / $183.14	Professional	TC	$85.72	$111.37	$183.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $184.45 / $289.33	Professional		$136.28	$184.45	$289.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.95 / $26.47	Professional	26	$11.75	$16.95	$26.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.96 / $165.12 / $247.23	Professional	TC	$120.96	$165.12	$247.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $148.81 / $268.44	Professional		$123.66	$148.81	$268.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $17.37 / $31.32	Professional	26	$14.43	$17.37	$31.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $109.23 / $131.44 / $237.12	Professional	TC	$109.23	$131.44	$237.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $104.31 / $184.58	Professional		$78.11	$104.31	$184.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $14.14 / $20.26	Professional	26	$11.17	$14.14	$20.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $66.95 / $90.17 / $166.62	Professional	TC	$66.95	$90.17	$166.62
United Facility/Professional Professional Modifier Low / Median / High Price $116.18 / $153.29 / $270.88	Professional		$116.18	$153.29	$270.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $17.60 / $29.19	Professional	26	$12.22	$17.60	$29.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.16 / $140.28 / $241.69	Professional	TC	$94.16	$140.28	$241.69