Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $147.91	Professional		$52.48	$66.07	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $104.71	Professional	26	$38.02	$47.86	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $43.65	Professional	TC	$15.14	$19.95	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $104.71	Professional		$61.66	$91.20	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $74.13	Professional	26	$43.65	$64.57	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $31.62	Professional	TC	$18.20	$26.92	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $158.49	Professional		$77.62	$120.23	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $112.20	Professional	26	$54.95	$83.18	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $45.71	Professional	TC	$22.91	$34.67	$45.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $186.21	Professional		$81.28	$95.50	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $131.83	Professional	26	$57.54	$67.61	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $54.95	Professional	TC	$23.99	$28.18	$54.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $204.17	Professional		$54.95	$77.62	$204.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $53.70 / $134.90	Professional	26	$38.02	$53.70	$134.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $66.07	Professional	TC	$17.38	$24.55	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $169.82	Professional		$63.10	$89.13	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $117.49	Professional	26	$45.71	$63.10	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.70 / $47.86	Professional	TC	$17.38	$25.70	$47.86