Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $62.80 / $106.48	Professional		$55.57	$62.80	$106.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $42.29 / $73.12	Professional	26	$37.99	$42.29	$73.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.80 / $33.35	Professional	TC	$17.57	$19.80	$33.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $86.33 / $123.99	Professional		$66.70	$86.33	$123.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.29 / $61.20 / $87.10	Professional	26	$47.29	$61.20	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $25.12 / $36.88	Professional	TC	$19.41	$25.12	$36.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $110.91 / $148.13	Professional		$78.42	$110.91	$148.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.57 / $77.98 / $104.97	Professional	26	$55.57	$77.98	$104.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $32.90 / $43.17	Professional	TC	$22.85	$32.90	$43.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $93.95 / $176.27	Professional		$66.30	$93.95	$176.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $66.30 / $124.39	Professional	26	$57.30	$66.30	$124.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.91 / $27.66 / $51.90	Professional	TC	$23.91	$27.66	$51.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $63.91 / $118.88	Professional		$55.57	$63.91	$118.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $43.68 / $73.14	Professional	26	$37.99	$43.68	$73.14
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.22 / $36.13	Professional	TC	$17.57	$20.22	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $88.77 / $153.84	Professional		$62.89	$88.77	$153.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.58 / $63.66 / $109.45	Professional	26	$45.58	$63.66	$109.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $25.31 / $44.39	Professional	TC	$17.30	$25.31	$44.39